Organization Active NPI

Needham Family Practice Assoc. P.C.

  • Family Medicine Physician
  • Needham, MA
National Provider Identifier
1255487120
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEEDHAM FAMILY PRACTICE ASSOC. P.C.
Practice address
87 Chestnut St
Needham, MA 02492-2578
Phone
(781) 444-5515
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Gerald P. Corcoran, MD
Title
President
Phone
(781) 444-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

87 Chestnut St
Needham, MA 02492-2578

Mailing address

87 Chestnut St
P.O. Box 920369
Needham, MA 02492-2578
Phone (781) 444-5515

National Provider Directory

National Provider Directory

Locations

154 E Central St
Ste 302
Natick, MA 01760
Phone (781) 444-5515

1410 Highland Ave
Ste 202
Needham, MA 02492
Phone (781) 444-3044

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1255487120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CHESTNUT ST",
            "address_2": "P.O. BOX 920369",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922578",
            "telephone_number": "781-444-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 CHESTNUT ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922578",
            "telephone_number": "781-444-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEDHAM FAMILY PRACTICE ASSOC. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-444-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.