Organization Active NPI

Pedipathways,Inc.

  • Home Health Agency
  • North Quincy, MA
National Provider Identifier
1720267289
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEDIPATHWAYS,INC.
Practice address
440 Hancock St Unit 206
North Quincy, MA 02171-2442
Phone
(617) 774-1355
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Melody Edwina White, RN
Title
President / Ceo
Phone
(617) 774-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MA Primary

Addresses

Primary practice location

440 Hancock St Unit 206
North Quincy, MA 02171-2442

Mailing address

440 Hancock St Unit 206
North Quincy, MA 02171-2442
Phone (617) 774-1355

Other identifiers 1

IdentifierTypeStateIssuer
1669675310MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1720267289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 HANCOCK ST UNIT 206",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712442",
            "telephone_number": "617-774-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HANCOCK ST UNIT 206",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712442",
            "telephone_number": "617-774-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIPATHWAYS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "EDWINA",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "617-774-1350",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669675310",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.