NPIMap

Organization Active NPI

Alena Ashenberg M.D. Pediatrics, L.L.C.

  • Pediatrics Physician
  • Dracut, MA
National Provider Identifier
1376618256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
77683 Issued in MA
Legal business name
ALENA ASHENBERG M.D. PEDIATRICS, L.L.C.
Practice address
505 Nashua Rd
Dracut, MA 01826-1929
Phone
(978) 957-4300
Fax
(978) 957-3891
NPI assigned
Nov 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alena AshenbergNPI 1629146782
Title
M.D.
Phone
(978) 957-4300

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 Physician 208000000X 77683 MA Primary

Addresses

Primary practice location

505 Nashua Rd
Dracut, MA 01826-1929

Mailing address

505 Nashua Rd
Dracut, MA 01826-1929
Phone (978) 957-4300

Other identifiers 4

IdentifierTypeStateIssuer
9740261MedicaidMA
J 14292OtherMABCBS INDIVIDUAL NUMBER
077683OtherMATUFTS PROVIDER NUMBER
978732-01OtherMANETWORK HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376618256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NASHUA RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261929",
            "telephone_number": "978-957-4300",
            "fax_number": "978-957-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NASHUA RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261929",
            "telephone_number": "978-957-4300",
            "fax_number": "978-957-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALENA ASHENBERG M.D. PEDIATRICS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHENBERG",
        "authorized_official_first_name": "ALENA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "978-957-4300"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "77683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9740261",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "J 14292",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "077683",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "978732-01",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

  • 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.