Organization Active NPI

Developmental Pediatrics of Greater Boston, LLC

  • Developmental - Behavioral Pediatrics Physician
  • Westwood, MA
National Provider Identifier
1780249292
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
DEVELOPMENTAL PEDIATRICS OF GREATER BOSTON, LLC
Practice address
100 High St Ste 200
Westwood, MA 02090-1100
Phone
(781) 856-6530
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Dr. Naomi B Gershon, MDNPI 1235541152
Title
MD
Phone
(781) 856-6530

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
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0006X Primary

Addresses

Primary practice location

100 High St Ste 200
Westwood, MA 02090-1100

Mailing address

100 High St Ste 200
Westwood, MA 02090-1100
Phone (781) 856-6530

National Provider Directory

National Provider Directory

Locations

100 High St
Ste 200
Westwood, MA 02090
Phone (617) 697-2282

Practitioners & affiliated clinicians

Practitioners 1

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": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1780249292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGH ST STE 200",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901100",
            "telephone_number": "781-856-6530",
            "fax_number": "781-449-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST STE 200",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901100",
            "telephone_number": "781-856-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL PEDIATRICS OF GREATER BOSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "GERSHON",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "781-856-6530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.