NPIMap

Organization Active NPI

Mystic Cardiology Associates Inc

  • Cardiovascular Disease Physician
  • Medford, MA
National Provider Identifier
1124093224
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MYSTIC CARDIOLOGY ASSOCIATES INC
Practice address
137 Main St
Medford, MA 02155-4522
Phone
(781) 395-4909
Fax
(781) 395-5081
NPI assigned
Feb 22, 2006
Last updated
May 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
David S Pladziewicz, MDNPI 1710950449
Title
President
Phone
(781) 395-4909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MA Primary

Addresses

Primary practice location

137 Main St
Medford, MA 02155-4522

Mailing address

170 Governors Ave
Medford, MA 02155
Phone (781) 395-4909

Other practice location 1

92 Montvale Ave Ste 3400
Stoneham, MA 02180-3668
Phone (781) 438-5543

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: bath.james.mcard@direct.partners.masshiway.net
  • Direct secure messaging: feltin.george.mcard@direct.partners.masshiway.net
  • Direct secure messaging: hamilton.tara.mcard@direct.partners.masshiway.net
  • Direct secure messaging: hanlon.albert.mcard@direct.partners.masshiway.net
  • Direct secure messaging: landry.terese.mcard@direct.partners.masshiway.net
  • Direct secure messaging: lee.leanne.mcard@direct.partners.masshiway.net
  • Direct secure messaging: lunghar.gloria.mcard@direct.partners.masshiway.net
  • Direct secure messaging: milder.elinor.mcard@direct.partners.masshiway.net
  • Direct secure messaging: morrison.sarah.mcard@direct.partners.masshiway.net
  • Direct secure messaging: mulligan.christine.mcard@direct.partners.masshiway.net
  • Direct secure messaging: osgood.caralee.mcard@direct.partners.masshiway.net
  • Direct secure messaging: pladziewicz.david.mcard@direct.partners.masshiway.net
  • Direct secure messaging: pribish.abby.mcard@direct.partners.masshiway.net
  • Direct secure messaging: riley.ashley.mcard@direct.partners.masshiway.net
  • Direct secure messaging: samenuk.david.mcard@direct.partners.masshiway.net
  • Direct secure messaging: schurgin.sunita.mcard@direct.partners.masshiway.net
  • Direct secure messaging: tharaud.rebecca.mcard@direct.partners.masshiway.net
  • Direct secure messaging: young.audrey.mcard@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1124093224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-395-4909",
            "fax_number": "781-395-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554522",
            "telephone_number": "781-395-4909",
            "fax_number": "781-395-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Montvale Ave Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021803668",
            "country_code": "US",
            "telephone_number": "781-438-5543",
            "fax_number": "781-438-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYSTIC CARDIOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "PLADZIEWICZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-395-4909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.