Active NPI
Marc Cendron, MD
- Urology Physician
- Boston, MA
National Provider Identifier
1679550008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 73887
- Practice address
- 300 Longwood Ave
Childrens Urological Foundation
Boston, MA 02115-5724 - Phone
- (617) 255-8338
- Fax
- (617) 730-0474
- NPI assigned
- Dec 28, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 73887 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Childrens Urological Foundation
Boston, MA 02115-5724
Mailing address
300 Longwood Ave
Childrens Urological Foundation
Boston, MA 02115-5724
Phone (617) 255-8338
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0029954 | Other | NHP | |
| 1900467 | Other | UHP | |
| 1900467 | Other | UNI4 | |
| AA8297 | Other | HPHC | |
| 30004186 | Other | WNH | |
| 000000026240 | Other | BMC | |
| 0015463007 | Other | CIG2 | |
| 1900467 | Other | UNI1 | |
| 973332 | Other | NETHE | |
| 073887 | Other | TUF | |
| 11273 | Other | HNE | |
| 3076075 | Medicaid | MA | |
| P3102564 | Other | OXFORD | |
| Z11048 | Other | HEALT | |
| 1281018 | Other | FCHP | |
| 1900467 | Other | METRA | |
| 1900467 | Other | UNI7 |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1679550008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "CHILDRENS UROLOGICAL FOUNDATION",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-255-8338",
"fax_number": "617-730-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "CHILDRENS UROLOGICAL FOUNDATION",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-255-8338",
"fax_number": "617-730-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENDRON",
"first_name": "MARC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "73887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0029954",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHP",
"identifier": "1900467",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNI4",
"identifier": "1900467",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA8297",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WNH",
"identifier": "30004186",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000026240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIG2",
"identifier": "0015463007",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNI1",
"identifier": "1900467",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETHE",
"identifier": "973332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUF",
"identifier": "073887",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "11273",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3076075",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3102564",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALT",
"identifier": "Z11048",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCHP",
"identifier": "1281018",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRA",
"identifier": "1900467",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNI7",
"identifier": "1900467",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.