Active NPI
Matthew Joseph Marr, M.D.
- Pediatrics Physician
- North Andover, MA
National Provider Identifier
1659751642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MT208004
- Practice address
- 800 Turnpike Street Suite 202
Jefferson Office Park
North Andover, MA 01845 - Phone
- (978) 557-5712
- Fax
- (978) 557-5406
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT208004 | PA | Primary |
Addresses
Primary practice location
800 Turnpike Street Suite 202
Jefferson Office Park
North Andover, MA 01845
Mailing address
800 Turnpike Street Suite 202
Jefferson Office Park
North Andover, MA 01845
Phone (978) 557-5712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274237 | Other | MA | MA BOARD OF REGISTRATION IN MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT208004 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woburn Pediatric Associates | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mmarr18344@direct.chppoc.masshiway.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Woburn, MA
- NPI 1124136510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1659751642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 TURNPIKE STREET SUITE 202",
"address_2": "JEFFERSON OFFICE PARK",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-557-5712",
"fax_number": "978-557-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 TURNPIKE STREET SUITE 202",
"address_2": "JEFFERSON OFFICE PARK",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-557-5712",
"fax_number": "978-557-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARR",
"first_name": "MATTHEW",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT208004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BOARD OF REGISTRATION IN MEDICINE",
"identifier": "274237",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.