Active NPI
Beth A Freire, M.D.
- Pediatrics Physician
- North Andover, MA
National Provider Identifier
1689628570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 151359
- Practice address
- 820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124 - Phone
- (978) 557-5712
- Fax
- (978) 557-5406
- NPI assigned
- May 22, 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 | 151359 | MA | Primary |
Addresses
Primary practice location
820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124
Mailing address
800 Turnpike Street
Jefferson Office Park
North Andover, MA 01845-6124
Phone (978) 557-5712
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5307494001 | Other | MA | CIGNA |
| 151359 | Other | MA | TUFTS HEALTH PLAN |
| 3157644 | Medicaid | MA | |
| 201395 | Other | MA | HARVARD COMMUNITY HEALTH |
| J17168 | Other | MA | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 151359 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Andover Pediatric Associates | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- bfreire18339@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Woburn Pediatric Associates
- Pediatrics Physician
- North Andover, MA
- NPI 1467594101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1689628570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 TURNPIKE STREET",
"address_2": "JEFFERSON OFFICE PARK",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456124",
"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": "820A TURNPIKE ST",
"address_2": "JEFFERSON OFFICE PARK",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456124",
"telephone_number": "978-557-5712",
"fax_number": "978-557-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIRE",
"first_name": "BETH",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "151359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5307494001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "151359",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3157644",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD COMMUNITY HEALTH",
"identifier": "201395",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J17168",
"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 Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.