NPIMap

Organization Active NPI

Pediatric Associates Inc. of Brockton

  • Pediatrics Physician
  • Brockton, MA
National Provider Identifier
1649389552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES INC. OF BROCKTON
Practice address
370 Oak St
Suite a
Brockton, MA 02301-1303
Phone
(508) 584-1234
Fax
(508) 584-0230
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph R Asiaf, M.D.NPI 1699763516
Title
President
Phone
(508) 584-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

370 Oak St
Suite a
Brockton, MA 02301-1303

Mailing address

370 Oak St
Suite a
Brockton, MA 02301-1303
Phone (508) 584-1234

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
22D0080475Pediatric Associates Inc of Brockton370 Oak Street, Brockton, MA 02301ComplianceApr 20, 2028

National Provider Directory

National Provider Directory

Locations

370 Oak St
Brockton, MA 02301
Phone (508) 580-1508

370 Oak St
Ste A
Brockton, MA 02301
Phone (508) 584-1234

6 Washington St
Canton, MA 02021

291 E Center St
West Bridgewater, MA 02379
Phone (508) 584-1210

Interoperability endpoints

  • Direct secure messaging: walcott.cassandra.pbroc@direct.partners.masshiway.net
  • Direct secure messaging: rako.jules.pbroc@direct.partners.masshiway.net
  • Direct secure messaging: robertson.laura.pbroc@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649389552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 OAK ST",
            "address_2": "SUITE A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011303",
            "telephone_number": "508-584-1234",
            "fax_number": "508-584-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 OAK ST",
            "address_2": "SUITE A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011303",
            "telephone_number": "508-584-1234",
            "fax_number": "508-584-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES INC. OF BROCKTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASIAF",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-584-1234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, 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.
  • 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.