Physician's Organization at Children's Hosptial

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PHYSICIAN'S ORGANIZATION AT CHILDREN'S HOSPTIAL

Doing business as

Community Pediatric Services

Practice address

300 Longwood Ave
Boston, MA 02115-5724

Phone

(617) 713-0176

Fax

(617) 734-2096

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Paresky

Title

Coo

Phone

(617) 355-7293

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Pediatric Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811066731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843007",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843007",
            "telephone_number": "617-713-0176",
            "fax_number": "617-734-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-713-0176",
            "fax_number": "617-734-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S ORGANIZATION AT CHILDREN'S HOSPTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARESKY",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "617-355-7293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9708090",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pediatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhaea Nicole Photopoulos, N.P.
• Krystal Phu
• Wanty Phu, MSW, LICSW
• Marilynn Phung-Kolczewski, NP
• Anh Thien Phung, MD
• Yeli Pi, M.D.
• May C Pian Smith, MD
• Julia Pian
• Sean Thomas Pianka
• Anne L. Piantadosi, MD, PHD

• Specialist in Boston, MA
• Providers in Boston, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.