NPIMap

Organization Active NPI

Lexington Pediatrics, LLC

  • Pediatrics Physician
  • Lexington, MA
National Provider Identifier
1124490701
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LEXINGTON PEDIATRICS, LLC
Practice address
57 Bedford St Ste 100
Lexington, MA 02420-4550
Phone
(781) 862-4110
Fax
(781) 863-2007
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Ramey Harris-Tatar
Title
Practice Administrator
Phone
(781) 862-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

57 Bedford St Ste 100
Lexington, MA 02420-4550

Mailing address

57 Bedford St Ste 100
Lexington, MA 02420-4550
Phone (781) 862-4110

National Provider Directory

National Provider Directory
Tax ID family
Lexington Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

19 Muzzey St
Lexington, MA 02421
Phone (781) 862-4110

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1124490701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BEDFORD ST STE 100",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204550",
            "telephone_number": "781-862-4110",
            "fax_number": "781-863-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BEDFORD ST STE 100",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204550",
            "telephone_number": "781-862-4110",
            "fax_number": "781-863-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS-TATAR",
        "authorized_official_first_name": "RAMEY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "781-862-4110"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.