Organization Active NPI

Jose Maria Correa, M.D., P.C.

  • Pediatrics Physician
  • Northborough, MA
National Provider Identifier
1679735567
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JOSE MARIA CORREA, M.D., P.C.
Practice address
112 Main St
Suite 101
Northborough, MA 01532-1914
Phone
(508) 393-7807
Fax
(508) 393-8608
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Jose Maria Correa, M.D.
Title
Pediatrician
Phone
(508) 393-7807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

112 Main St
Suite 101
Northborough, MA 01532-1914

Mailing address

112 Main St
Suite 101
Northborough, MA 01532-1914
Phone (508) 393-7807

National Provider Directory

National Provider Directory

Locations

112 Main St
Ste 101
Northborough, MA 01532
Phone (508) 393-7807

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1679735567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "address_2": "SUITE 101",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-393-7807",
            "fax_number": "508-393-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "address_2": "SUITE 101",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-393-7807",
            "fax_number": "508-393-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE MARIA CORREA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "508-393-7807",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.