Organization Active NPI

Neponset Valley Pediatrics PC

  • Pediatrics Physician
  • Sharon, MA
National Provider Identifier
1710076542
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eric J Levin, MDNPI 1518054063
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200944OtherHARVARD PILGRIM
9786635MedicaidMA
1240551OtherUNITED NC
07930OtherTUFTS
J14677OtherMABLUE CROSS BLUE SHIELD
0473852OtherAETNA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0971379Neponset Valley Pediatrics PC450 North Main Street, Sharon, MA 02067Certificate of waiverMar 12, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.