Active NPI
Roberto Ciordia, MD
- Epilepsy Physician
- Dorchester, MA
National Provider Identifier
1245956325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Epilepsy Physician
- License
- 98-6859-00
- Practice address
- 247 Park St
Dorchester, MA 02124-1334 - Phone
- (617) 939-1643
- NPI assigned
- Oct 19, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | 98-6859-00 | MA | Primary |
Addresses
Primary practice location
247 Park St
Dorchester, MA 02124-1334
Mailing address
247 Park St
Dorchester, MA 02124-1334
Phone (617) 939-1643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PAK964079 | Other | PASSPORT |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-6859-00 | MA | MD | Epilepsy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1245956325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 PARK ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021241334",
"telephone_number": "617-939-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 PARK ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021241334",
"telephone_number": "617-939-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIORDIA",
"first_name": "ROBERTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "MA",
"license": "98-6859-00",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "PAK964079",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.