Active NPI
Michael J Zackin, M.D.
- Pediatrics Physician
- Weston, MA
National Provider Identifier
1790722445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 79949
- Practice address
- 134 South Ave
Pediatric Associates of Wellesley
Weston, MA 02493-1923 - Phone
- (781) 736-0040
- NPI assigned
- Jun 1, 2006
- 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 | 79949 | MA | Primary |
Addresses
Primary practice location
134 South Ave
Pediatric Associates of Wellesley
Weston, MA 02493-1923
Mailing address
82 Powers Rd
Sudbury, MA 01776-1028
Phone (781) 736-0040
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 |
|---|---|---|---|
| 79949 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Wellesley | Pediatrics | Current | Accepting new patients |
Locations
134 South Ave
Weston, MA 02493
Phone (781) 472-2222
Interoperability endpoints
- zackin.michael.paofw@direct.partners.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 and National Provider Directory roles.
-
- Pediatrics Physician
- Weston, MA
- NPI 1710028188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790722445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 POWERS RD",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761028",
"telephone_number": "781-736-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 SOUTH AVE",
"address_2": "PEDIATRIC ASSOCIATES OF WELLESLEY",
"city": "WESTON",
"state": "MA",
"postal_code": "024931923",
"telephone_number": "781-736-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACKIN",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "79949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.