Organization Active NPI

Robert a Babineau Jr MD PC

  • Family Medicine Physician
  • Fitchburg, MA
National Provider Identifier
1649473612
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39452 Issued in MA
Legal business name
ROBERT A BABINEAU JR MD PC
Practice address
47 Ashby State Rd
Suite 103
Fitchburg, MA 01420-2038
Phone
(978) 345-1040
Fax
(978) 348-1286
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Robert A Babineau Jr., M.D.
Title
Owner
Phone
(978) 345-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 39452 MA Primary

Addresses

Primary practice location

47 Ashby State Rd
Suite 103
Fitchburg, MA 01420-2038

Mailing address

47 Ashby State Rd
Suite 103
Fitchburg, MA 01420-2038
Phone (978) 345-1040

Other identifiers 1

IdentifierTypeStateIssuer
2042371MedicaidMA

National Provider Directory

National Provider Directory

Locations

47 Ashby State Rd
Ste 103
Fitchburg, MA 01420
Phone (978) 345-1040

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1649473612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ASHBY STATE RD",
            "address_2": "SUITE 103",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202038",
            "telephone_number": "978-345-1040",
            "fax_number": "978-348-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ASHBY STATE RD",
            "address_2": "SUITE 103",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202038",
            "telephone_number": "978-345-1040",
            "fax_number": "978-348-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A BABINEAU JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "BABINEAU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-345-1040",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "39452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042371",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.