Joseph Richard Asiaf, MD
Individual provider Active NPI Pediatrics Physician · Brockton, MA
NPI 1699763516 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1699763516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 28516 (MA)
- Practice address
- 370 Oak St
Suite a
Brockton, MA 02301-1341 - Phone
- (508) 584-1234
- Fax
- (508) 584-0230
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28516 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates Inc. of Brockton | Pediatrics | Past | Accepting new patients |
| Children'S Hospital Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 28516 | MA | Yes |
Addresses
Primary practice location
370 Oak St
Suite a
Brockton, MA 02301-1341
Mailing address
370 Oak St
Suite a
Brockton, MA 02301-1341
Phone (508) 584-1234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0135151 | Medicaid | MA |
Other providers in Brockton, MA
- Chloe Asaker
- Marian D Asamaoh
- Taarika R Ashcroft
- Oluwagbotemi Ayomide Ashley
- Mia Ashton
- Soubhana Asif
- Angela N Aslami
- Kathleen Aspinall
- Marielle Asselin
- Associates in Nephrology, PC
All providers in Brockton, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.