Active NPI
John T. Hardiman Jr., N.P.
- Pediatric Nurse Practitioner
- Dorchester, MA
National Provider Identifier
1497883151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 207931
- Practice address
- 1353 Dorchester Ave
Dorchester, MA 02122-2932 - Phone
- (617) 740-2277
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 207931 | MA | Primary |
Addresses
Primary practice location
1353 Dorchester Ave
Dorchester, MA 02122-2932
Mailing address
1353 Dorchester Ave
Dorchester, MA 02122-2932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1211765 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207931 | MA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1497883151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021222932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1353 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021222932",
"telephone_number": "617-740-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIMAN",
"first_name": "JOHN",
"middle_name": "T.",
"name_suffix": "Jr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "207931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1211765",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.