NPIMap

Organization Active NPI

Hyde Park Pediatrics, P.C.

  • Specialist
  • Hyde Park, MA
National Provider Identifier
1629144555
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HYDE PARK PEDIATRICS, P.C.
Practice address
695 Truman Hwy
Suite #203
Hyde Park, MA 02136-3552
Phone
(617) 361-1470
Fax
(617) 361-9060
NPI assigned
Nov 24, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Carolyn Frank Sax, M.D.NPI 1821072562
Title
Managing Partner
Phone
(617) 361-1470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA Primary

Addresses

Primary practice location

695 Truman Hwy
Suite #203
Hyde Park, MA 02136-3552

Mailing address

695 Truman Hwy
Suite #203
Hyde Park, MA 02136-3552
Phone (617) 361-1470

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0075910Hyde Park Pediatrics PC695 Truman Parkway, Suite 203, Hyde Park, MA 02136Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory

Locations

695 Truman Hwy
Ste 203
Hyde Park, MA 02136
Phone (617) 361-1470

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629144555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 TRUMAN HWY",
            "address_2": "SUITE #203",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363552",
            "telephone_number": "617-361-1470",
            "fax_number": "617-361-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 TRUMAN HWY",
            "address_2": "SUITE #203",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363552",
            "telephone_number": "617-361-1470",
            "fax_number": "617-361-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAX",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "617-361-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.