NPIMap

Organization Active NPI

Pediatric Associates of Fall River, Inc

  • Pediatrics Physician
  • Fall River, MA
National Provider Identifier
1619930146
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES OF FALL RIVER, INC
Practice address
851 Middle St Ste 1100
Fall River, MA 02721-1779
Phone
(508) 324-6800
Fax
(508) 324-6828
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Dr. Staci M Resnick, MDNPI 1265497879
Title
President
Phone
(508) 324-6800

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

851 Middle St Ste 1100
Fall River, MA 02721-1779

Mailing address

851 Middle St Ste 1100
Fall River, MA 02721-1779
Phone (508) 324-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060131000354 MA Part B Supplier - Clinic/Group Practice 5395759211 Receives reassigned benefits from 5 practitioners
Practice locations: Fall River, MA

National Provider Directory

National Provider Directory

Locations

851 Middle St
Fl 2
Fall River, MA 02721

851 Middle St
Ste 1100
Fall River, MA 02721
Phone (508) 324-6800

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1619930146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST STE 1100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211779",
            "telephone_number": "508-324-6800",
            "fax_number": "508-324-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST STE 1100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211779",
            "telephone_number": "508-324-6800",
            "fax_number": "508-324-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF FALL RIVER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-324-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.