Active NPI
Justin David Sweder, MD
- Pediatrics Physician
- Boston, MA
National Provider Identifier
1629134697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 270722
- Practice address
- 1601 Washington St
Boston, MA 02118-1951 - Phone
- (617) 425-2000
- Fax
- (617) 425-2002
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- 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 | 270722 | MA | Primary |
Addresses
Primary practice location
1601 Washington St
Boston, MA 02118-1951
Mailing address
1601 Washington
Boston, MA 02118-1951
Phone (617) 425-2000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85886 | CA | MD | Marriage & Family Therapist |
| 270722 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jsweder14150@direct.chppoc.masshiway.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1629134697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WASHINGTON",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181951",
"telephone_number": "617-425-2000",
"fax_number": "617-425-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181951",
"telephone_number": "617-425-2000",
"fax_number": "617-425-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEDER",
"first_name": "JUSTIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "270722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.