Organization Active NPI

Suburban Cardiology & Internal Medicine P.C.

  • Internal Medicine Physician
  • Natick, MA
National Provider Identifier
1235294448
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUBURBAN CARDIOLOGY & INTERNAL MEDICINE P.C.
Practice address
190 N Main St
Natick, MA 01760-2057
Phone
(508) 647-1600
Fax
(508) 647-1695
NPI assigned
Dec 27, 2006
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Richard Morris Gottlieb, MD
Title
Doctor
Phone
(508) 647-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

190 N Main St
Natick, MA 01760-2057

Mailing address

190 N Main St
Natick, MA 01760-2057
Phone (508) 647-1600

National Provider Directory

National Provider Directory
Tax ID family
Suburban Cardiology and Internal Medicine PC2 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

190 N Main St
Natick, MA 01760
Phone (508) 647-1600

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1235294448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602057",
            "telephone_number": "508-647-1600",
            "fax_number": "508-647-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602057",
            "telephone_number": "508-647-1600",
            "fax_number": "508-647-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN CARDIOLOGY & INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "508-647-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.