Organization Active NPI

Cardone Reproductive Medicine & Infertility

  • Reproductive Endocrinology Physician
  • Stoneham, MA
National Provider Identifier
1306178702
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
56751 Issued in MA
Legal business name
CARDONE REPRODUCTIVE MEDICINE & INFERTILITY
Practice address
2 Main St
Suite 150
Stoneham, MA 02180-3335
Phone
(781) 438-9600
Fax
(781) 438-9601
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Gail K Hendrickson
Title
Coo/Practice Administrator
Phone
(781) 438-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X 56751 MA Primary

Addresses

Primary practice location

2 Main St
Suite 150
Stoneham, MA 02180-3335

Mailing address

2 Main St
Suite 150
Stoneham, MA 02180-3335
Phone (781) 438-9600

Other identifiers 8

IdentifierTypeStateIssuer
712663OtherMATUFTS
M19813OtherMABC/BS NEQCA
M19275OtherMABC/BS INDEMNITY
13397OtherMAHARVARD PILGRIM HEALTHCARE
25276OtherMAFALLON
J06571OtherMABC/BS
1380826OtherMAAETNA
99155003OtherMANETWORK HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Cardone Reproductive Medicine Infertility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Main St
Ste 150
Stoneham, MA 02180
Phone (781) 438-9600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1306178702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "address_2": "SUITE 150",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803335",
            "telephone_number": "781-438-9600",
            "fax_number": "781-438-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "address_2": "SUITE 150",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803335",
            "telephone_number": "781-438-9600",
            "fax_number": "781-438-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDONE REPRODUCTIVE MEDICINE & INFERTILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "COO/PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "781-438-9600"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MA",
            "license": "56751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "712663",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NEQCA",
            "identifier": "M19813",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDEMNITY",
            "identifier": "M19275",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "13397",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "25276",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "J06571",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1380826",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "99155003",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.