Active NPI
Caritas Medical Group, Inc
Doing business as Seton Pathology Associates
- Anatomic Pathology & Clinical Pathology Physician
- Brighton, MA
National Provider Identifier
1629185921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- CARITAS MEDICAL GROUP, INC
- Doing business as
- Seton Pathology Associates
- Practice address
- 736 Cambridge St
C/O Caritas St. Elizabeths Medical Center
Brighton, MA 02135-2907 - Phone
- (617) 789-3000
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Ricklan, MD
- Title
- President
- Phone
- (617) 789-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
736 Cambridge St
C/O Caritas St. Elizabeths Medical Center
Brighton, MA 02135-2907
Mailing address
736 Cambridge St
C/O Caritas St. Elizabeths Medical Center
Brighton, MA 02135-2907
Phone (617) 789-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9781633 | Medicaid | MA |
Other names 1
- Seton Pathology Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Brighton, MA
- NPI 1194799122
-
- Anatomic Pathology & Clinical Pathology Physician
- Brighton, MA
- NPI 1417077678
-
- Anatomic Pathology & Clinical Pathology Physician
- Brighton, MA
- NPI 1760564470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275955200000",
"number": "1629185921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "C/O CARITAS ST. ELIZABETHS MEDICAL CENTER",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "C/O CARITAS ST. ELIZABETHS MEDICAL CENTER",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARITAS MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2010-06-08",
"status": "A",
"authorized_official_last_name": "RICKLAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-789-3000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9781633",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Seton Pathology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brighton, MA
- Jordan Elizabeth Cardarelli, RD, LDN
- Aimee Carew- Lyons, RN, PNP, PHD
- Caring Connections Psychotherapy LLC
- Caritas Christi Diagnostic Support Services
- Caritas Medical Group Inc (Caritas Behavioral Health Group)
- Caritas Medical Group, Inc
- Caritas Medical Group, Inc.
- Caritas Physician Network
- Caritas St Elizabeth Health Care (Brighton Marine Pharmacy)
- Caritas St. Elizabeth's Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.