Individual provider Active NPI

Joseph B Leader, M.D.

  • Pediatrics Physician
  • Woburn, MA
National Provider Identifier
1457314940
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27824 Issued in MA
Practice address
7 Alfred St
Baldwin Park II
Woburn, MA 01801-1976
Phone
(781) 933-6236
Fax
(781) 938-8050
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 27824 MA Primary

Addresses

Primary practice location

7 Alfred St
Baldwin Park II
Woburn, MA 01801-1976

Mailing address

7 Alfred St
Baldwin Park II
Woburn, MA 01801-1976
Phone (781) 933-6236

Other identifiers 5

IdentifierTypeStateIssuer
2087618MedicaidMA
027824OtherMATUFTS HEALTH PLAN
B54025OtherMABLUE CROSS BLUE SHIELD
0060193001OtherMACIGNA
20189OtherMAHARVARD COMMUNITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121220000215 MA Practitioner - Pediatric Medicine 9436301470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27824MAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: kjcrawford@kent.cernerdirect.carene.org

Organizations & group practices 1

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1457314940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALFRED ST",
            "address_2": "BALDWIN PARK II",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011976",
            "telephone_number": "781-933-6236",
            "fax_number": "781-938-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALFRED ST",
            "address_2": "BALDWIN PARK II",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011976",
            "telephone_number": "781-933-6236",
            "fax_number": "781-938-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADER",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "27824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087618",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "027824",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "B54025",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0060193001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD COMMUNITY HEALTH",
            "identifier": "20189",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.