NPIMap

Organization Active NPI

Vadim Schaldenko MDPC

  • Internal Medicine Physician
  • Dracut, MA
National Provider Identifier
1548467616
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40961 Issued in MA
Legal business name
VADIM SCHALDENKO MDPC
Practice address
505 Nashua Rd
Suite 12
Dracut, MA 01826-1929
Phone
(978) 957-4850
NPI assigned
Jun 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Vadim Schaldenko, M.D.
Title
Owner
Phone
(978) 957-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 40961 MA Primary

Addresses

Primary practice location

505 Nashua Rd
Suite 12
Dracut, MA 01826-1929

Mailing address

505 Nashua Rd
Suite 12
Dracut, MA 01826-1929
Phone (978) 957-4850

Other identifiers 3

IdentifierTypeStateIssuer
7895OtherMAHARVARD PILGRIM PROVIDER
B26223OtherMABLUE CROSS PROVIDER NUMER
040961OtherMATUFTS PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1548467616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NASHUA RD",
            "address_2": "SUITE 12",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261929",
            "telephone_number": "978-957-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NASHUA RD",
            "address_2": "SUITE 12",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261929",
            "telephone_number": "978-957-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VADIM SCHALDENKO MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-30",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "SCHALDENKO",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-957-4850",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "40961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM PROVIDER",
            "identifier": "7895",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMER",
            "identifier": "B26223",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "040961",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.