Active NPI
Middlesex Cardiology Assoc
- Cardiovascular Disease Physician
- Melrose, MA
National Provider Identifier
1508927922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- MIDDLESEX CARDIOLOGY ASSOC
- Practice address
- 50 Rowe St
Suite 600
Melrose, MA 02176 - Phone
- (781) 979-3440
- Fax
- (781) 979-0258
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Waystack
- Title
- Office Manager
- Phone
- (781) 979-3440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
50 Rowe St
Suite 600
Melrose, MA 02176
Mailing address
50 Rowe St
Suite 600
Melrose, MA 02176
Phone (781) 979-3440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600534 | Other | MA | TUFTS |
| 9725016 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
50 Rowe St
Ste 600
Melrose, MA 02176
Phone (781) 979-3400
570 Broadway
Revere, MA 02151
Phone (781) 387-3851
Interoperability endpoints
- turissini.carl.mcard@direct.partners.masshiway.net
- maher.kim.mcard@direct.partners.masshiway.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Boston, MA
- NPI 1629557574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508927922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ROWE ST",
"address_2": "SUITE 600",
"city": "MELROSE",
"state": "MA",
"postal_code": "02176",
"telephone_number": "781-979-3440",
"fax_number": "781-979-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ROWE ST",
"address_2": "SUITE 600",
"city": "MELROSE",
"state": "MA",
"postal_code": "02176",
"telephone_number": "781-979-3440",
"fax_number": "781-979-0258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLESEX CARDIOLOGY ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WAYSTACK",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "781-979-3440"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "600534",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9725016",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.