Charles Leon Anderson Jr., MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

75583 Issued in MA

Practice address

127 University Ave
Westwood, MA 02090

Phone

(781) 686-1608

NPI assigned

Sep 9, 2005

Last updated

Dec 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Imed RX PC

  • Acupuncturist
  • Westwood, MA
  • NPI 1932746203
  NPD Authorized official
• Dimock Community Health Center, Inc

  dba Dimock Pharmacy

  • Community/Retail Pharmacy
  • Roxbury, MA
  • NPI 1023850120
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1720072390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CRAIGIE TER",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024602106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 UNIVERSITY AVE",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "02090",
            "telephone_number": "781-686-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLES",
        "middle_name": "LEON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MA",
            "license": "75583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Amaya-Hodges, PH.D.
• Abolhassan Amouzgar, MD
• Anaesthesia Associates of Ma, PC
• Anaesthesia Associates of Massachusetts, PC (New England Pain Management Consultants)
• Anaesthesia Associates of Massachusetts, PC (New England Pain Management Consultants)
• Marc Andreani-Fabroni, MD
• Arch Orthodontics, PC
• Gloria D Artis, TECHNICAL OTHER PSC
• Matthew Ascione, RN
• Jennifer Ashton, COTA/L

• Neonatal-Perinatal Medicine Physician in Westwood, MA
• Providers in Westwood, MA by specialty
• Neonatal-Perinatal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.