Active NPI
Rosalinda J Ott, MD
- Pediatrics Physician
- Malden, MA
National Provider Identifier
1679648307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36576
- Practice address
- 105 Commercial St
Malden, MA 02148 - Phone
- (781) 322-5101
- Fax
- (781) 322-5820
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- 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 | 36576 | MA | Primary |
Addresses
Primary practice location
105 Commercial St
Malden, MA 02148
Mailing address
105 Commercial St
Malden, MA 02148
Phone (781) 322-5101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3020983 | Medicaid | MA |
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 |
|---|---|---|---|
| 36576 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Malden, PC | Pediatrics | Past | Accepting new patients |
| Pediatric Associates of Malden PC | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Malden, MA
- NPI 1942378633
-
- Pediatrics Physician
- Malden, MA
- NPI 1134193097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1679648307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 COMMERCIAL ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "02148",
"telephone_number": "781-322-5101",
"fax_number": "781-322-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 COMMERCIAL ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "02148",
"telephone_number": "781-322-5101",
"fax_number": "781-322-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "ROSALINDA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "36576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3020983",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.