Convenient Pediatric Care Group, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

MA 156328 Issued in MA

Legal business name

CONVENIENT PEDIATRIC CARE GROUP, LLC

Doing business as

711 PediCare

Practice address

209 Harvard St
Suite 407
Brookline, MA 02446-5071

Phone

(617) 366-6129

Fax

(617) 608-5951

NPI assigned

Aug 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jocelyn Oriana Joseph, M.D., M.P.H

Title

Owner

Phone

(617) 366-6129

Specialties & licenses 1

Addresses

Other names 1

• 711 PediCare Doing business as

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1629477989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST",
            "address_2": "SUITE 407",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465071",
            "telephone_number": "617-366-6129",
            "fax_number": "617-608-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST",
            "address_2": "SUITE 407",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465071",
            "telephone_number": "617-366-6129",
            "fax_number": "617-608-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT PEDIATRIC CARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "ORIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-366-6129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MA",
            "license": "MA 156328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "711 PediCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Brookline, MA
• Providers in Brookline, MA by specialty
• Urgent Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.