Joseph W. Desiato, M.D. PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

55584 Issued in MA

Legal business name

JOSEPH W. DESIATO, M.D. PC

Doing business as

Community Pediatric of Andover

Practice address

349 N Main St
Andover, MA 01810-2687

Phone

(978) 475-0300

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph W Desiato, M.D.

Title

President

Phone

(978) 475-0300

Specialties & licenses 1

Addresses

Other names 1

• Community Pediatric of Andover Doing business as

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316069149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 N MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102687",
            "telephone_number": "978-475-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 N MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102687",
            "telephone_number": "978-475-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W. DESIATO, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESIATO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-475-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "55584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pediatric of Andover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Kent Johnson, MD
• Shelby Morgan Johnson, MS, CCLS
• Nicholas Johnston, MSN, PMHNP-BC
• Robert Johnston, MSW, LICSW
• Kristie Ann Jones, LICSW
• Carmel Joyce
• Cheryl Anne Juba, M.A.
• Julie Bernstein, LLC
• Catherine M Jurgen
• Lauren Kai, D.M.D.

• Pediatrics Physician in Andover, MA
• Providers in Andover, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.