Organization Active NPI

Middlesex Cardiology Assoc

  • Cardiovascular Disease Physician
  • Melrose, MA
National Provider Identifier
1508927922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
600534OtherMATUFTS
9725016MedicaidMA

National Provider Directory

National Provider Directory

Locations

50 Rowe St
Ste 600
Melrose, MA 02176
Phone (781) 979-3400

570 Broadway
Revere, MA 02151
Phone (781) 387-3851

Interoperability endpoints

  • Direct secure messaging: turissini.carl.mcard@direct.partners.masshiway.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.