Individual provider Active NPI

Richard M Pfeiffer III, MD

  • Nurse Practitioner
  • Quincy, MA
National Provider Identifier
1235432501
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN260534 Issued in MA
Practice address
54 Miller St
4TH Floor
Quincy, MA 02169-4725
Phone
(617) 472-5005
NPI assigned
Dec 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN260534 MA Primary

Addresses

Primary practice location

54 Miller St
4TH Floor
Quincy, MA 02169-4725

Mailing address

62 Brown St
Suite 507
Haverhill, MA 01830-6778
Phone (617) 472-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000124 MA Practitioner - Nurse Practitioner 6709067705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pembroke Medical Associates IncGroup PAC ID 3678992955, 26 clinicians

Practice addresses (Care Compare)

15 Old W Elm St
Pembroke, MA 02359-1731
Phone (781) 202-9292

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RN260534MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant Ma PC CurrentSince Nov 27, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2012 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

62 Brown St
Ste 507
Haverhill, MA 01830
Phone (617) 562-5628

114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018

54 Miller St
Fl 4
Quincy, MA 02169
Phone (617) 302-6388

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1235432501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BROWN ST",
            "address_2": "SUITE 507",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306778",
            "telephone_number": "617-472-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "address_2": "4TH FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694725",
            "telephone_number": "617-472-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN260534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.