Aida M Yavshayan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

150875 Issued in MA

Legal business name

AIDA M YAVSHAYAN, MD

Practice address

375 Mount Auburn St
Watertown, MA 02472-1930

Phone

(617) 926-2220

Fax

(617) 926-2230

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aida M YavshayanNPI 1457326803

Title

Provider

Phone

(617) 926-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Aida M. Yavshayan, MD

  • Pediatrics Physician
  • Watertown, MA
  • NPI 1457326803
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316157654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721930",
            "telephone_number": "617-926-2220",
            "fax_number": "617-926-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721930",
            "telephone_number": "617-926-2220",
            "fax_number": "617-926-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDA M YAVSHAYAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAVSHAYAN",
        "authorized_official_first_name": "AIDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "617-926-2220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "150875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3164080",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ags Physical Therapy Inc
• Edward Sherwin M Aguilar, PT
• Diane Ah-Kine NG Poon Hing, O.D.
• Constance B Ahlstrom, LICSW
• Aid Mass LLC
• Christine Aigamaua
• Maryam Akbari, D.M.D, M.P.H, M.D
• Varteni Tina Akian, PHARMD
• Lola Akintobi
• Samah Alananzeh I, MD

• Pediatrics Physician in Watertown, MA
• Providers in Watertown, 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.