Individual provider Active NPI

Carolina Gapud, MD

  • Pediatrics Physician
  • Lakeville, MA
National Provider Identifier
1679566798
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
002167 Issued in NY
Practice address
2 Lakeville Business Park
Lakeville, MA 02347-1236
Phone
(508) 947-0630
Fax
(508) 947-0639
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 002167 NY Primary

Addresses

Primary practice location

2 Lakeville Business Park
Lakeville, MA 02347-1236

Mailing address

2 Lakeville Business Park
Lakeville, MA 02347-1236
Phone (508) 947-0630

Other identifiers 1

IdentifierTypeStateIssuer
02610382MedicaidNY

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Middleboro Pediatrics, PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gapud.carolina.mp@direct.partners.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1679566798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LAKEVILLE BUSINESS PARK",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471236",
            "telephone_number": "508-947-0630",
            "fax_number": "508-947-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LAKEVILLE BUSINESS PARK",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471236",
            "telephone_number": "508-947-0630",
            "fax_number": "508-947-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAPUD",
        "first_name": "CAROLINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "002167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02610382",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.