Active NPI
Elizabeth Ashley Maloney, CPNP
- Pediatrics Physician
- Peabody, MA
National Provider Identifier
1265890289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- RN2298949
- Practice address
- 10 Centennial Drive
Boston Children'S Hospital Neurology
Peabody, MA 01960 - Phone
- (781) 216-3582
- Fax
- (781) 316-3574
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RN2298949 | MA | Primary |
Addresses
Primary practice location
10 Centennial Drive
Boston Children'S Hospital Neurology
Peabody, MA 01960
Mailing address
505 Farmington Ave
Farmington, CT 06032-1901
Other names 1
- Elizabeth Ashley Equi
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6718 | CT | MD | Pharmacist |
| RN2298949 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Neurology Foundation Inc | Pediatrics | Current | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
10 Centennial Dr
Peabody, MA 01960
Phone (978) 535-1110
Interoperability endpoints
- emaloney27323@direct.bostonchildrens.org
Organizations & group practices 1
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Boston, MA
- NPI 1063432417
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1265890289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTENNIAL DRIVE",
"address_2": "BOSTON CHILDREN'S HOSPITAL NEUROLOGY",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "781-216-3582",
"fax_number": "781-316-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "ELIZABETH",
"middle_name": "ASHLEY",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "RN2298949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "EQUI",
"middle_name": "ASHLEY",
"credential": "CPNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.