Commonwealth Pediatrics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COMMONWEALTH PEDIATRICS, LLC

Practice address

92 Montvale Ave
Stoneham, MA 02180-3647

Phone

(518) 331-5316

NPI assigned

Apr 24, 2015

Last updated

Apr 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Lock, MDNPI 1134183429

Title

Physician / Owner

Phone

(518) 331-5316

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle L. Lock, M.D

  • Pediatrics Physician
  • Stoneham, MA
  • NPI 1134183429
  NPD (past) Authorized official
• Angelica R Espinosa-Louissaint, M.D.

  • Pediatrics Physician
  • Stoneham, MA
  • NPI 1225060759
  NPD (past)
• Aidette Florimon Ramirez, M.D

  • Pediatrics Physician
  • Stoneham, MA
  • NPI 1326444803
  NPD (past)
• Nicole Ann O'Brien, NP

  • Pediatric Nurse Practitioner
  • Stoneham, MA
  • NPI 1639887060
  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1588051874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 OXFORD ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902422",
            "telephone_number": "518-331-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803647",
            "telephone_number": "518-331-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "LOCK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "518-331-5316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert F Commito, M.D.
• Commonwealth Colon and Rectal Surgery PLLC
• Commonwealth Colon and Rectal Surgery PLLC
• Commonwealth Colon and Rectal Surgery PLLC
• Commonwealth DME, Inc.
• Commonwealth Surgical Associates
• Commonwealth Surgical Associates
• Commonwealth Surgical Associates PC
• Commonwealth Weight Loss, LLC
• Commonwealth Weight Loss, LLC

• Primary Care Clinic/Center in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.