Organization Active NPI

Middlesex Family Practice PC

  • Family Medicine Physician
  • Framingham, MA
National Provider Identifier
1528073202
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80763 Issued in MA
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

Updated by the provider on Apr 9, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3140911MedicaidMA

Other names 1

  • Middlesex Family Practice PC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0958682Middlesex Family Practice PC74 Main Street, Framingham, MA 01702Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.