Organization Active NPI

Fcne Pho, LLC

  • Ambulatory Fertility Facility
  • Reading, MA
National Provider Identifier
1295356301
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
Legal business name
FCNE PHO, LLC
Practice address
20 Pondmeadow Dr Ste 101
Reading, MA 01867-3222
Phone
(781) 942-7000
Fax
(781) 942-7200
NPI assigned
Apr 29, 2020
Organization subpart
Yes
Parent organization
FERTILITY CENTERS OF NEW ENGLAND, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Barry Edward Sullivan
Title
Director of Finance
Phone
(781) 942-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X Primary

Addresses

Primary practice location

20 Pondmeadow Dr Ste 101
Reading, MA 01867-3222

Mailing address

20 Pondmeadow Dr Ste 101
Reading, MA 01867-3222
Phone (781) 942-7000

National Provider Directory

National Provider Directory
Part of
Fertility Centers of New England LLC

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1295356301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PONDMEADOW DR STE 101",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673222",
            "telephone_number": "781-942-7000",
            "fax_number": "781-942-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PONDMEADOW DR STE 101",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673222",
            "telephone_number": "781-942-7000",
            "fax_number": "781-942-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCNE PHO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FERTILITY CENTERS OF NEW ENGLAND, LLC",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "781-942-7000"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.