Organization Active NPI

Cedar Hill Pediatrics LLC

  • Pediatrics Physician
  • Brockton, MA
National Provider Identifier
1508351784
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
217107 Issued in MA
Legal business name
CEDAR HILL PEDIATRICS LLC
Practice address
1324 Belmont St Ste 105
Brockton, MA 02301-4435
Phone
(508) 427-6000
Fax
(508) 427-6010
NPI assigned
Jun 28, 2018
Last updated
Feb 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Dr. Laura Robertson, MDNPI 1932196664
Title
Manager
Phone
(508) 427-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 217107 MA Primary

Addresses

Primary practice location

1324 Belmont St Ste 105
Brockton, MA 02301-4435

Mailing address

1324 Belmont St Ste 105
Brockton, MA 02301-4435
Phone (508) 427-6000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2161200Cedar Hill Pediatrics LLC1324 Belmont St, Brockton, MA 02301Provider-performed microscopyJan 28, 2027

National Provider Directory

National Provider Directory

Locations

1324 Belmont St
Ste 105
Brockton, MA 02301
Phone (508) 427-6000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1508351784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 BELMONT ST STE 105",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014435",
            "telephone_number": "508-427-6000",
            "fax_number": "508-427-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BELMONT ST STE 105",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014435",
            "telephone_number": "508-427-6000",
            "fax_number": "508-427-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-427-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "217107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.