Organization Active NPI

My Provider on Demand, PC

  • Clinic/Center
  • Mansfield, MA
National Provider Identifier
1336021328
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MY PROVIDER ON DEMAND, PC
Practice address
266 N Main St Unit 8
Mansfield, MA 02048-3331
Phone
(781) 354-4141
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Dr. Ana Aroshidze Saad, DNP, FNPNPI 1861063513
Title
President
Phone
(781) 354-4141

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

266 N Main St Unit 8
Mansfield, MA 02048-3331

Mailing address

266 N Main St Unit 8
Mansfield, MA 02048-3331
Phone (781) 354-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250911003423 MA Part B Supplier - Clinic/Group Practice 7113420514 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, MA

National Provider Directory

National Provider Directory

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": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1336021328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 N MAIN ST UNIT 8",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483331",
            "telephone_number": "781-354-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 N MAIN ST UNIT 8",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483331",
            "telephone_number": "781-354-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PROVIDER ON DEMAND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "AROSHIDZE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-354-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.