Active NPI
John O Pastore, MD
- Interventional Cardiology Physician
- Brighton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35395
- Practice address
- 736 Cambridge St
Dept of Cardiology Ccp4C
Brighton, MA 02135-2907 - Phone
- (617) 789-3149
- Fax
- (617) 789-5029
- NPI assigned
- Sep 9, 2005
- 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 35395 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Dept of Cardiology Ccp4C
Brighton, MA 02135-2907
Mailing address
77 Warren St
RM 339
Brighton, MA 02135
Phone (617) 789-3149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016117 | Medicaid | MA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Yale University School of Medicine, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 754-5800
Hospital & facility affiliations
- New England Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| New England Baptist Medical Associates, Inc. | Current | Accepting new patients |
Locations
736 Cambridge St
#4C
Brighton, MA 02135
Phone (617) 789-3149
11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
77 Warren St
Rm 339
Brighton, MA 02135
Phone (617) 562-5428
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100
40 Spring St
Watertown, MA 02472
Phone (617) 923-8433
Interoperability endpoints
- jpastore252660@direct.bilh.masshiway.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Roxbury Crossing, MA
- NPI 1609854991
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1255325874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 WARREN ST",
"address_2": "RM 339",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-789-3149",
"fax_number": "617-789-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "DEPT OF CARDIOLOGY CCP4C",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-3149",
"fax_number": "617-789-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORE",
"first_name": "JOHN",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MA",
"license": "35395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2016117",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.