Active NPI
Thomas S Natale Jr., MD
- Pediatrics Physician
- Peabody, MA
National Provider Identifier
1790744266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 39811
- Practice address
- 10 Centennial Drive
Peabody, MA 01960 - Phone
- (978) 535-1110
- Fax
- (978) 535-2907
- NPI assigned
- Mar 22, 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 | 39811 | MA | Primary |
Addresses
Primary practice location
10 Centennial Drive
Peabody, MA 01960
Mailing address
10 Centennial Drive
Peabody, MA 01960
Phone (978) 535-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2067862 | Medicaid | MA |
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 |
|---|---|---|---|
| 39811 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Health Care Associates PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- tnatale6040@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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1790744266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CENTENNIAL DRIVE",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-535-1110",
"fax_number": "978-535-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTENNIAL DRIVE",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-535-1110",
"fax_number": "978-535-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATALE",
"first_name": "THOMAS",
"middle_name": "S",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "39811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2067862",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.