Active NPI
Pedipathways,Inc.
- Home Health Agency
- North Quincy, MA
National Provider Identifier
1720267289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669675310 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI 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.