NPIMap

Organization Active NPI

Crown Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Quincy, MA
National Provider Identifier
1487924239
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CROWN OBSTETRICS AND GYNECOLOGY
Practice address
300 Congress St
Suite 102
Quincy, MA 02169-0907
Phone
(617) 479-6636
Fax
(617) 376-0435
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Patricia Berrick
Title
Office Administrator
Phone
(617) 479-6636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

300 Congress St
Suite 102
Quincy, MA 02169-0907

Mailing address

300 Congress St
Suite 102
Quincy, MA 02169-0907
Phone (617) 479-6636

Other identifiers 1

IdentifierTypeStateIssuer
9781455MedicaidMA

National Provider Directory

National Provider Directory

Locations

300 Congress St
Ste 102
Quincy, MA 02169
Phone (617) 471-1161

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1487924239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST",
            "address_2": "SUITE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-479-6636",
            "fax_number": "617-376-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST",
            "address_2": "SUITE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-479-6636",
            "fax_number": "617-376-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "BERRICK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "617-479-6636"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9781455",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.