Individual provider Active NPI

Teodor Georgescu, M.D.

  • Pediatrics Physician
  • New Bedford, MA
National Provider Identifier
1417989955
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
77616 Issued in MA
Practice address
Ped. Assocs of N.B. Inc
225 Field Street
New Bedford, MA 02740
Phone
(508) 999-2981
Fax
(508) 910-3363
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 77616 MA Primary

Addresses

Primary practice location

Ped. Assocs of N.B. Inc
225 Field Street
New Bedford, MA 02740

Mailing address

225 Field St
New Bedford, MA 02740-2134
Phone (508) 999-2981

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77616MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Hospitals Group, Inc Past Accepting new patients
Pediatric Associates of New Bedford, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tgeorgescu8083@direct.chppoc.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1417989955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FIELD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402134",
            "telephone_number": "508-999-2981",
            "fax_number": "508-910-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PED. ASSOCS OF N.B. INC",
            "address_2": "225 FIELD STREET",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-999-2981",
            "fax_number": "508-910-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGESCU",
        "first_name": "TEODOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "77616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.