Active NPI
Deborah D Summers, PNP
- Pediatrics Physician
- Brockton, MA
National Provider Identifier
1518923978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 103434
- Practice address
- 830 Oak St
Suite 200W
Brockton, MA 02301 - Phone
- (508) 586-7334
- Fax
- (508) 583-7599
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- 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 | 103434 | MA | Primary |
Addresses
Primary practice location
830 Oak St
Suite 200W
Brockton, MA 02301
Mailing address
830 Oak St
Suite 200W
Brockton, MA 02301
Phone (508) 586-7334
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103434 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Rako MD PC | Pediatrics | Past | Accepting new patients |
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
- Brockton, MA
- NPI 1699756122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1518923978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 OAK ST",
"address_2": "SUITE 200W",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-586-7334",
"fax_number": "508-583-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 OAK ST",
"address_2": "SUITE 200W",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-586-7334",
"fax_number": "508-583-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "DEBORAH",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "103434",
"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 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.