Organization Active NPI

Meadowbrook Medical Group, P.C.

  • Medical Specialty Clinic/Center
  • West Boylston, MA
National Provider Identifier
1194267351
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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

  • FHIR API: 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.

Verify at the official NPI Registry.