Active NPI
Meadowbrook Medical Group, P.C.
- Medical Specialty Clinic/Center
- West Boylston, MA
National Provider Identifier
1194267351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- MEADOWBROOK MEDICAL GROUP, P.C.
- Practice address
- 354 W Boylston St Ste 226-228
West Boylston, MA 01583-2373 - Phone
- (774) 261-8682
- Fax
- (774) 261-8601
- NPI assigned
- Nov 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel Maduakor, M.D.
- Title
- Physician/President
- Phone
- (508) 826-4744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
354 W Boylston St Ste 226-228
West Boylston, MA 01583-2373
Mailing address
19 Navajo Rd
Worcester, MA 01606-2669
Phone (508) 826-4744
National Provider Directory
National Provider DirectoryLocations
354 W Boylston St
Ste 226228
West Boylston, MA 01583
Phone (774) 261-8682
354 W Boylston St
Ste 226
West Boylston, MA 01583
Phone (508) 826-4744
Interoperability endpoints
- https://api.platform.athenahealth.com/15126/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1194267351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 NAVAJO RD",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062669",
"telephone_number": "508-826-4744",
"fax_number": "508-853-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 W BOYLSTON ST STE 226-228",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832373",
"telephone_number": "774-261-8682",
"fax_number": "774-261-8601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOWBROOK MEDICAL GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-04",
"last_updated": "2025-09-11",
"certification_date": "2022-09-10",
"status": "A",
"authorized_official_last_name": "MADUAKOR",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "508-826-4744",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.