NPIMap

Organization Active NPI

J Rako MD PC

Doing business as Pediatric Healthcare

  • Pediatrics Physician
  • Brockton, MA
National Provider Identifier
1699756122
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
J RAKO MD PC
Doing business as
Pediatric Healthcare
Practice address
830 Oak St
Suite 200 W
Brockton, MA 02301-1168
Phone
(508) 586-7334
Fax
(508) 583-7599
NPI assigned
Nov 10, 2005
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Mr. Jules Rako, MDNPI 1033105887
Title
President
Phone
(508) 586-7334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

830 Oak St
Suite 200 W
Brockton, MA 02301-1168

Mailing address

830 Oak St
Suite 200 W
Brockton, MA 02301-1168
Phone (508) 586-7334

Other identifiers 3

IdentifierTypeStateIssuer
9703349MedicaidMA
687456OtherMATUFTS
M17660OtherMABLUE CROSS

Other names 1

  • Pediatric Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

830 Oak St
Ste 200W
Brockton, MA 02301
Phone (508) 586-7334

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1699756122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OAK ST",
            "address_2": "SUITE 200 W",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011168",
            "telephone_number": "508-586-7334",
            "fax_number": "508-583-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OAK ST",
            "address_2": "SUITE 200 W",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011168",
            "telephone_number": "508-586-7334",
            "fax_number": "508-583-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RAKO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "RAKO",
        "authorized_official_first_name": "JULES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-586-7334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9703349",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "687456",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M17660",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.