NPIMap

Individual provider Active NPI

Leonard I Firer, M.D.

  • Pediatrics Physician
  • Revere, MA
National Provider Identifier
1538249263
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
226608 Issued in MA
Practice address
280 Beach St
Revere, MA 02151-3143
Phone
(781) 289-5057
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 226608 MA Primary

Addresses

Primary practice location

280 Beach St
Revere, MA 02151-3143

Mailing address

17 Gilbert St
Waltham, MA 02453-6807
Phone (781) 209-0164

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226608MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Melrosewakefield Healthcare, Inc. Past Accepting new patients
Revere Winthrop Pediatrics Pediatrics Past Accepting new patients
TLC Pediatrics PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lfirer13443@direct.chppoc.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1538249263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GILBERT ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024536807",
            "telephone_number": "781-209-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BEACH ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513143",
            "telephone_number": "781-289-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRER",
        "first_name": "LEONARD",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "226608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.