Active NPI
Margaret Ride Peterson, PA
- Physician Assistant
- Boston, MA
National Provider Identifier
1386609766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 191
- Practice address
- 120 Boylston St
Emerson College
Boston, MA 02116-4624 - Phone
- (617) 824-8666
- Fax
- (617) 824-7897
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 191 | MA | Primary |
Addresses
Primary practice location
120 Boylston St
Emerson College
Boston, MA 02116-4624
Mailing address
46 Royal St
Quincy, MA 02170-2112
Phone (617) 770-1244
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386609766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ROYAL ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021702112",
"telephone_number": "617-770-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BOYLSTON ST",
"address_2": "EMERSON COLLEGE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164624",
"telephone_number": "617-824-8666",
"fax_number": "617-824-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "MARGARET",
"middle_name": "RIDE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "191",
"primary": true
}
],
"identifiers": [],
"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.