Active NPI
Andrew Michael Celandine, M.D.
- Pediatrics Physician
- Woburn, MA
National Provider Identifier
1730366501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 232451
- Practice address
- 7 Alfred St
Woburn Pediatrics Baldwin Park 2
Woburn, MA 01801-1976 - Phone
- (781) 933-6236
- NPI assigned
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 232451 | MA | Primary |
Addresses
Primary practice location
7 Alfred St
Woburn Pediatrics Baldwin Park 2
Woburn, MA 01801-1976
Mailing address
7 Alfred St
Woburn Pediatrics Baldwin Park 2
Woburn, MA 01801-1976
Phone (781) 933-6236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232451 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woburn Pediatric Associates | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- acelandine18337@direct.chppoc.masshiway.net
Organizations & group practices 1
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.
-
dba North Andover Pediatric Associates
- Pediatrics Physician
- Woburn, MA
- NPI 1124136510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1730366501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ALFRED ST",
"address_2": "WOBURN PEDIATRICS BALDWIN PARK 2",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011976",
"telephone_number": "781-933-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 ALFRED ST",
"address_2": "WOBURN PEDIATRICS BALDWIN PARK 2",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011976",
"telephone_number": "781-933-6236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELANDINE",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "232451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.