Active NPI
Neponset Valley Pediatrics PC
- Pediatrics Physician
- Sharon, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NEPONSET VALLEY PEDIATRICS PC
- Practice address
- 450 North Main St
Sharon, MA 02067 - Phone
- (781) 784-0403
- Fax
- (781) 784-0407
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric J Levin, MD
- Title
- President
- Phone
- (781) 784-0403
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
450 North Main St
Sharon, MA 02067
Mailing address
450 North Main St
Sharon, MA 02067
Phone (781) 784-0403
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200944 | Other | HARVARD PILGRIM | |
| 9786635 | Medicaid | MA | |
| 1240551 | Other | UNITED NC | |
| 07930 | Other | TUFTS | |
| J14677 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0473852 | Other | AETNA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0971379 | Neponset Valley Pediatrics PC | Certificate of waiver | Mar 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
450 N Main St
Ste 2
Sharon, MA 02067
Phone (617) 545-4270
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Sharon, MA
- NPI 1518054063
-
- Nurse Practitioner
- Sharon, MA
- NPI 1265172308
-
- Pediatric Nurse Practitioner
- Sharon, MA
- NPI 1750037800
-
- Pediatric Nurse Practitioner
- Saugus, MA
- NPI 1467870949
-
- Clinical Social Worker
- Sharon, MA
- NPI 1992100374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710076542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 NORTH MAIN ST",
"city": "SHARON",
"state": "MA",
"postal_code": "02067",
"telephone_number": "781-784-0403",
"fax_number": "781-784-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NORTH MAIN ST",
"city": "SHARON",
"state": "MA",
"postal_code": "02067",
"telephone_number": "781-784-0403",
"fax_number": "781-784-0407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPONSET VALLEY PEDIATRICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEVIN",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-784-0403",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "200944",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9786635",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED NC",
"identifier": "1240551",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "07930",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J14677",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0473852",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sharon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.