Active NPI
Ann Nicoloff Becker, MD, LLC
- Pediatric Adolescent Medicine Physician
- Wellesley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 73532
- Legal business name
- ANN NICOLOFF BECKER, MD, LLC
- Practice address
- 332 Washington St
Suite 275
Wellesley, MA 02481-6219 - Phone
- (781) 235-7730
- Fax
- (781) 235-7739
- NPI assigned
- Sep 7, 2007
- Last updated
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Nicoloff Becker, MD
- Title
- Owner
- Phone
- (781) 235-7730
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 73532 | MA | Primary |
Addresses
Primary practice location
332 Washington St
Suite 275
Wellesley, MA 02481-6219
Mailing address
332 Washington Street
Suite 275
Wellesley, MA 02481-6204
Phone (781) 235-7730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9744550 | Medicaid | MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1046048 | Ann Nicoloff Becker MD | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
332 Washington St
Ste 275
Wellesley Hls, MA 02481
Phone (781) 235-7730
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Adolescent Medicine Physician
- Wellesley, MA
- NPI 1194791863
-
- Pediatrics Physician
- Wellesley, MA
- NPI 1720075575
-
- Pediatric Adolescent Medicine Physician
- Wellesley Hills, MA
- NPI 1568551158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189123200000",
"number": "1285829887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 WASHINGTON STREET",
"address_2": "SUITE 275",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024816204",
"telephone_number": "781-235-7730",
"fax_number": "781-235-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 WASHINGTON ST",
"address_2": "SUITE 275",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024816219",
"telephone_number": "781-235-7730",
"fax_number": "781-235-7739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANN NICOLOFF BECKER, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "NICOLOFF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-235-7730",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MA",
"license": "73532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9744550",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.