NPIMap

Organization Active NPI

Main Street Pediatrics

  • Pediatrics Physician
  • Hopkinton, MA
National Provider Identifier
1720112865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MAIN STREET PEDIATRICS
Practice address
77 W Main St
Hopkinton, MA 01748-1684
Phone
(508) 435-5506
NPI assigned
Mar 14, 2007
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. Robert Drew Basow, MD
Title
Part Owner
Phone
(508) 435-5506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MA Primary

Addresses

Primary practice location

77 W Main St
Hopkinton, MA 01748-1684

Mailing address

77 W Main St
Hopkinton, MA 01748-1684
Phone (508) 435-5506

National Provider Directory

National Provider Directory

Locations

170 University Dr
Ste 101
Amherst, MA 01002
Phone (413) 584-8700

130 Condor St
East Boston, MA 02128
Phone (617) 569-6560

77 W Main St
Hopkinton, MA 01748
Phone (508) 435-5506

77 W Main St
Rear
Hopkinton, MA 01748

77 W Main St
#R
Hopkinton, MA 01748

Practitioners & affiliated clinicians

Practitioners 9

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720112865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481684",
            "telephone_number": "508-435-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481684",
            "telephone_number": "508-435-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "508-435-5506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.