Organization Active NPI

Shani Kumarasena MD PC

Doing business as Newton Wellesley Children's Doctor

  • Pediatrics Physician
  • Wellesley, MA
National Provider Identifier
1326256728
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
150094 Issued in MA
Legal business name
SHANI KUMARASENA MD PC
Doing business as
Newton Wellesley Children's Doctor
Practice address
332 Washington St
Suite 260
Wellesley, MA 02481-6219
Phone
(781) 235-5437
Fax
(781) 235-3945
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Darshini KumarasenaNPI 1245284793
Title
Pediatrician
Phone
(781) 235-5437

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 150094 MA Primary

Addresses

Primary practice location

332 Washington St
Suite 260
Wellesley, MA 02481-6219

Mailing address

332 Washington St
Suite 260
Wellesley, MA 02481
Phone (781) 235-5437

Other identifiers 1

IdentifierTypeStateIssuer
9703667MedicaidMA

Other names 1

  • Newton Wellesley Children's Doctor Doing business as

National Provider Directory

National Provider Directory

Locations

486 Washington St
Ste 13
Wellesley, MA 02482

1 Hollis St
Ste 243
Wellesley, MA 02482

332 Washington St
Ste 260
Wellesley Hills, MA 02481
Phone (781) 235-5437

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1326256728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 260",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-235-5437",
            "fax_number": "781-235-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 260",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-235-5437",
            "fax_number": "781-235-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANI KUMARASENA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "KUMARASENA",
        "authorized_official_first_name": "DARSHINI",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "781-235-5437"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "150094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9703667",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Wellesley Children's Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 2008; 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.