Active NPI
Carolyn J Sedor, MD
- Pediatrics Physician
- Wilmington, MA
National Provider Identifier
1609867027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 70696
- Practice address
- 500 Salem St
Wilmington, MA 01887-1200 - Phone
- (978) 988-6209
- Fax
- (978) 988-6139
- NPI assigned
- Nov 3, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 70696 | MA | Primary |
Addresses
Primary practice location
500 Salem St
Wilmington, MA 01887-1200
Mailing address
15 Percy Rd
Lexington, MA 02421-5617
Phone (978) 988-6209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103579 | Medicaid | MA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70696 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609867027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PERCY RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024215617",
"telephone_number": "978-988-6209",
"fax_number": "978-988-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SALEM ST",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018871200",
"telephone_number": "978-988-6209",
"fax_number": "978-988-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDOR",
"first_name": "CAROLYN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "70696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3103579",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.