NPIMap

Organization Active NPI

North Andover Pediatric Associates

  • Pediatrics Physician
  • North Andover, MA
National Provider Identifier
1467594101
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTH ANDOVER PEDIATRIC ASSOCIATES
Practice address
820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124
Phone
(978) 557-5712
Fax
(978) 557-5406
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Carol McEleney
Title
Billing Manager
Phone
(781) 638-1024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124

Mailing address

820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124
Phone (978) 557-5712

Other names 1

  • Woburn Pediatric Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121220000233 MA Part B Supplier - Clinic/Group Practice 5294822540 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Andover, MA; Woburn, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

800 Turnpike St
Ofc Park
North Andover, MA 01845
Phone (978) 557-5712

820A Turnpike St
Ofc Park
North Andover, MA 01845
Phone (978) 557-5712

800 Turnpike St
North Andover, MA 01845
Phone (351) 232-2018

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1467594101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820A TURNPIKE ST",
            "address_2": "JEFFERSON OFFICE PARK",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456124",
            "telephone_number": "978-557-5712",
            "fax_number": "978-557-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820A TURNPIKE ST",
            "address_2": "JEFFERSON OFFICE PARK",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456124",
            "telephone_number": "978-557-5712",
            "fax_number": "978-557-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ANDOVER PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MCELENEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "781-638-1024"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woburn Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.