Individual provider Active NPI

Michael J Zackin, M.D.

  • Pediatrics Physician
  • Weston, MA
National Provider Identifier
1790722445
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
79949 Issued in MA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
79949MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Wellesley Pediatrics Current Accepting new patients

Locations

134 South Ave
Weston, MA 02493
Phone (781) 472-2222

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.