NPIMap

Organization Active NPI

Woburn Nephrology Associates PC

  • Nephrology Physician
  • Woburn, MA
National Provider Identifier
1801499348
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
WOBURN NEPHROLOGY ASSOCIATES PC
Practice address
23 Warren Ave Ste 150
Woburn, MA 01801-4986
Phone
(781) 933-0710
NPI assigned
Nov 18, 2020
Organization subpart
Yes
Parent organization
WOBURN NEPHROLOGY ASSOCIATES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Karen M Richardson
Title
Practice Administrator
Phone
(781) 933-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

23 Warren Ave Ste 150
Woburn, MA 01801-4986

Mailing address

23 Warren Ave Ste 150
Woburn, MA 01801-4986
Phone (781) 933-0710

Other names 1

  • Woburn Kidney Associates Other name

National Provider Directory

National Provider Directory
Tax ID family
Woburn Nephrology Associates PC2 organizations share this tax ID, including this one
Part of
Woburn Nephrology Associates PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1801499348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE STE 150",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014986",
            "telephone_number": "781-933-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE STE 150",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014986",
            "telephone_number": "781-933-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOBURN NEPHROLOGY ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOBURN NEPHROLOGY ASSOCIATES PC",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "781-933-0710"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woburn Kidney Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.