Active NPI
Middlesex Family Practice PC
- Family Medicine Physician
- Framingham, MA
National Provider Identifier
1528073202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 80763
- Legal business name
- MIDDLESEX FAMILY PRACTICE PC
- Practice address
- 74 Main St
Framingham, MA 01702-2952 - Phone
- (508) 270-8844
- NPI assigned
- Jul 30, 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
- Dr. Emil Yagudin, MD
- Title
- Owner
- Phone
- (508) 270-8844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 80763 | MA | Primary |
Addresses
Primary practice location
74 Main St
Framingham, MA 01702-2952
Mailing address
74 Main St
Framingham, MA 01702-2952
Phone (508) 270-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3140911 | Medicaid | MA |
Other names 1
- Middlesex Family Practice PC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0958682 | Middlesex Family Practice PC | Certificate of waiver | Mar 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
74 Main St
Framingham, MA 01702
Phone (508) 270-8844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523232000000",
"number": "1528073202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 MAIN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017022952",
"telephone_number": "508-270-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 MAIN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017022952",
"telephone_number": "508-270-8844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLESEX FAMILY PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2018-04-09",
"status": "A",
"authorized_official_last_name": "YAGUDIN",
"authorized_official_first_name": "EMIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-270-8844",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MA",
"license": "80763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3140911",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Middlesex Family Practice PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.