Active NPI
Wilmington Pediatrics, Inc.
- Pediatrics Physician
- Wilmington, MA
National Provider Identifier
1790841591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- WILMINGTON PEDIATRICS, INC.
- Practice address
- 500 Salem St
Wilmington, MA 01887-1200 - Phone
- (978) 988-6209
- Fax
- (978) 988-6139
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Normand A. Tanguay, MD
- Title
- President
- Phone
- (978) 988-6209
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
500 Salem St
Wilmington, MA 01887-1200
Mailing address
500 Salem St
Wilmington, MA 01887-1200
Phone (978) 988-6209
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600594 | Other | MA | TUFTS GROUP NUMBER |
| 9765387 | Medicaid | MA | |
| M15347 | Other | MD | BLUE CROSS GROUP NUMBER |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2068643 | Wilmington Pediatrics | Certificate of waiver | Nov 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360886400000",
"number": "1790841591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SALEM ST",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018871200",
"telephone_number": "978-988-6209",
"fax_number": "978-988-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SALEM ST",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018871200",
"telephone_number": "978-988-6209",
"fax_number": "978-988-6139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILMINGTON PEDIATRICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2013-02-15",
"status": "A",
"authorized_official_last_name": "TANGUAY",
"authorized_official_first_name": "NORMAND",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-988-6209",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS GROUP NUMBER",
"identifier": "600594",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9765387",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP NUMBER",
"identifier": "M15347",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, MA
- Wilmington Eye Group, Inc.
- Wilmington Family Chiropractic and Wellness Center, Inc.
- Wilmington Family Counseling Service Inc
- Wilmington Family Dental
- Wilmington Family Dental PC
- Wilmington Rehab Center LLC
- Wilminton Public Schools
- Winchester Physician Associates
- Woburn Medical Associates PC
- David Wojtczak, R.P.H.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.