Active NPI
Romney K. Laderberg, MD, PC
- Pulmonary Disease Physician
- Everett, MA
National Provider Identifier
1629289681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 73767
- Legal business name
- ROMNEY K. LADERBERG, MD, PC
- Practice address
- 596 Broadway
Everett, MA 02149-3743 - Phone
- (617) 387-5185
- Fax
- (617) 387-0827
- NPI assigned
- May 24, 2007
- 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
- Romney K Laderberg, MD
- Title
- Owner
- Phone
- (617) 387-5185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 73767 | MA | Primary |
Addresses
Primary practice location
596 Broadway
Everett, MA 02149-3743
Mailing address
596 Broadway
Everett, MA 02149-3743
Phone (617) 387-5185
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 724634 | Other | MA | TUFTS |
| 61618 | Other | MA | HARVARD PILGRAM |
| 3117031 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629289681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596 BROADWAY",
"city": "EVERETT",
"state": "MA",
"postal_code": "021493743",
"telephone_number": "617-387-5185",
"fax_number": "617-387-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 BROADWAY",
"city": "EVERETT",
"state": "MA",
"postal_code": "021493743",
"telephone_number": "617-387-5185",
"fax_number": "617-387-0827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMNEY K. LADERBERG, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LADERBERG",
"authorized_official_first_name": "ROMNEY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-387-5185",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "73767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "724634",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM",
"identifier": "61618",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3117031",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.