Active NPI
Edward Cyburt, MD
- Pediatrics Physician
- Fall River, MA
National Provider Identifier
1518909936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 49153
- Practice address
- 851 Middle St
Suite 1100
Fall River, MA 02721-1778 - Phone
- (508) 324-6800
- Fax
- (508) 674-5440
- NPI assigned
- Jun 11, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 49153 | MA | Primary |
Addresses
Primary practice location
851 Middle St
Suite 1100
Fall River, MA 02721-1778
Mailing address
851 Middle St
Suite 1100
Fall River, MA 02721-1778
Phone (508) 324-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49153 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Fall River, Inc | Pediatrics | Current | Accepting new patients |
Locations
829 S Main St
Fall River, MA 02724
Phone (508) 675-2131
851 Middle St
Ste 1100
Fall River, MA 02721
Phone (508) 324-6800
851 Middle St
Fall River, MA 02721
Phone (508) 324-6800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Fall River, MA
- NPI 1619930146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1518909936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 MIDDLE ST",
"address_2": "SUITE 1100",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211778",
"telephone_number": "508-324-6800",
"fax_number": "508-674-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 MIDDLE ST",
"address_2": "SUITE 1100",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211778",
"telephone_number": "508-324-6800",
"fax_number": "508-674-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYBURT",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "49153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.