TLC Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TLC PEDIATRICS PC

Doing business as

TLC Pediatrics PC

Practice address

391 Broadway Ste 301
Everett, MA 02149-3471

Phone

(617) 389-2121

NPI assigned

May 18, 2022

Organization subpart

Yes

Parent organization

TLC PEDIATRICS PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joan Addesa

Title

Medical Biller

Phone

(781) 289-6581

Specialties & licenses 1

Addresses

Other names 1

• TLC Pediatrics PC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

TLC Pediatrics PC2 organizations share this tax ID, including this one

Part of

TLC Pediatrics PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• TLC Pediatrics PC

  dba Revere-Winthrop Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Revere, MA
  • NPI 1962708271
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• TLC Pediatrics PC

  dba Revere-Winthrop Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Revere, MA
  • NPI 1962708271
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1114664448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 BROADWAY STE 301",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493471",
            "telephone_number": "617-389-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 BROADWAY STE 301",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493471",
            "telephone_number": "617-389-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PEDIATRICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLC  PEDIATRICS PC",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "ADDESA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "781-289-6581"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Pediatrics PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna HV Thomas
• Cody Ryan Thomas
• Maureen A Thompson
• Amanda Thorne, LCSW
• David Yut-Chee Ting, MD
• Oanh Tran
• McLaura Trezil, NP
• Tri-City Mental Health Center
• Anel.Ise Tubinis, L.M.H.C
• Godson Tumpson

• Pediatrics Physician in Everett, MA
• Providers in Everett, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.