Organization Active NPI

Village Pediatrics

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1598960262
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VILLAGE PEDIATRICS
Practice address
1100 NW Maynard Rd
Unit 110
Cary, NC 27513-8706
Phone
(919) 469-1989
Fax
(919) 469-2191
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Arlene M Massaro, M.D.NPI 1417910324
Title
Physician
Phone
(919) 469-1989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1100 NW Maynard Rd
Unit 110
Cary, NC 27513-8706

Mailing address

1100 NW Maynard Rd
Unit 110
Cary, NC 27513-8706
Phone (919) 469-1989

Other identifiers 1

IdentifierTypeStateIssuer
8954585MedicaidNC

Other names 1

  • VILLAGE PEDIATRICS PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

1100 NW Maynard Rd
Ste 110
Cary, NC 27513
Phone (919) 781-8780

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1598960262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW MAYNARD RD",
            "address_2": "UNIT 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138706",
            "telephone_number": "919-469-1989",
            "fax_number": "919-469-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW MAYNARD RD",
            "address_2": "UNIT 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138706",
            "telephone_number": "919-469-1989",
            "fax_number": "919-469-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "MASSARO",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-469-1989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8954585",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PEDIATRICS PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.