Active NPI
William Joseph Dwyer, M.D.
- Neonatal-Perinatal Medicine Physician
- Boston, MA
National Provider Identifier
1336197847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 208982
- Practice address
- 55 Fruit St
Neonatology Unit, Fnd442,Massachusetts General Hospital
Boston, MA 02114-2696 - Phone
- (617) 726-9040
- Fax
- (617) 726-9346
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 208982 | MA | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | J9007 | TX |
Addresses
Primary practice location
55 Fruit St
Neonatology Unit, Fnd442,Massachusetts General Hospital
Boston, MA 02114-2696
Mailing address
201 Turnpike St
North Andover, MA 01845-5005
Phone (978) 697-2556
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J26042 | Other | MA | BCBS MA |
| 208982 | Other | MA | TUFTS HEALTH PLAN |
| 2004763 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208982 | MA | MD | Neonatal-Perinatal Medicine Physician |
| J9007 | TX | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Infectious Disease Specialists Inc. | Past | Accepting new patients | |
| Seacoast Affiliated Group Practice, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Newburyport, MA
- NPI 1366712002
-
- Clinic/Center
- Newburyport, MA
- NPI 1801892344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336197847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455005",
"telephone_number": "978-697-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "NEONATOLOGY UNIT, FND442,MASSACHUSETTS GENERAL HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-9040",
"fax_number": "617-726-9346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MA",
"license": "208982",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "J9007",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J26042",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "208982",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2004763",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.