Organization Active NPI

Reading Family Medicine PC

  • Family Medicine Physician
  • Reading, MA
National Provider Identifier
1720142912
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058057 Issued in MA
Legal business name
READING FAMILY MEDICINE PC
Practice address
30 Newcrossing Rd Ste 301
Reading, MA 01867-3254
Phone
(781) 942-0380
Fax
(781) 246-6725
NPI assigned
Dec 21, 2006
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. Thomas Russell Jevon, M.D.NPI 1104898022
Title
Owner Physician
Phone
(781) 942-0380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 058057 MA Primary

Addresses

Primary practice location

30 Newcrossing Rd Ste 301
Reading, MA 01867-3254

Mailing address

30 Newcrossing Rd Ste 301
Reading, MA 01867-3254
Phone (781) 942-0380

National Provider Directory

National Provider Directory

Locations

30 New Crossing Rd
Ste 301
Reading, MA 01867
Phone (781) 942-0380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1720142912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEWCROSSING RD STE 301",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673254",
            "telephone_number": "781-942-0380",
            "fax_number": "781-246-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEWCROSSING RD STE 301",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673254",
            "telephone_number": "781-942-0380",
            "fax_number": "781-246-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READING FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "JEVON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "781-942-0380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "058057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.