NPIMap

Organization Active NPI

Westboro Family Medicine

  • Family Medicine Physician
  • Westborough, MA
National Provider Identifier
1740312131
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WESTBORO FAMILY MEDICINE
Practice address
24 Lyman St
Ste 300
Westborough, MA 01581-1482
Phone
(508) 366-7100
Fax
(508) 366-7303
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Daniel Freitas, MDNPI 1497827612
Title
Owner
Phone
(508) 366-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

24 Lyman St
Ste 300
Westborough, MA 01581-1482

Mailing address

24 Lyman St
Ste 300
Westborough, MA 01581-1482
Phone (508) 366-7100

Other identifiers 3

IdentifierTypeStateIssuer
36272OtherMACIGNA
44347OtherMAAETNA
M18338OtherMABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

24 Lyman St
Ste 300
Westborough, MA 01581
Phone (508) 366-7100

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1740312131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LYMAN ST",
            "address_2": "STE 300",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811482",
            "telephone_number": "508-366-7100",
            "fax_number": "508-366-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LYMAN ST",
            "address_2": "STE 300",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811482",
            "telephone_number": "508-366-7100",
            "fax_number": "508-366-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBORO FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "FREITAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-366-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "36272",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "44347",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M18338",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.