Active NPI
Rosemary E Pomponio, M.D.
- Family Medicine Physician
- Watertown, MA
National Provider Identifier
1215058367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 55752
- Practice address
- 376 Arsenal St
Watertown, MA 02472-2892 - Phone
- (617) 953-5817
- Fax
- (617) 795-7082
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 55752 | MA | Primary |
Addresses
Primary practice location
376 Arsenal St
Watertown, MA 02472-2892
Mailing address
136 Nichols Ave
Watertown, MA 02472-4134
Phone (617) 744-1178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1215058367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 NICHOLS AVE",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724134",
"telephone_number": "617-744-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 ARSENAL ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722892",
"telephone_number": "617-953-5817",
"fax_number": "617-795-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMPONIO",
"first_name": "ROSEMARY",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "55752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.