Active NPI
Harold A Picken, MD
- Pulmonary Disease Physician
- North Quincy, MA
National Provider Identifier
1821032178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 79885
- Practice address
- 25 Newport Ave
Ext Ms 12/15
North Quincy, MA 02171 - Phone
- (617) 246-3232
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 79885 | MA | |
| Pulmonary Disease Physician | 207RP1001X | 79885 | MA | Primary |
Addresses
Primary practice location
25 Newport Ave
Ext Ms 12/15
North Quincy, MA 02171
Mailing address
25 Newport Ave
Ext Ms 12/15
North Quincy, MA 02171
Phone (617) 246-3232
Other practice location 1
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
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 |
|---|---|---|---|
| 79885 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Associates Inc | Past | Accepting new patients |
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.
-
- Ophthalmic Technician/Technologist
- Boston, MA
- NPI 1841410685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1821032178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NEWPORT AVE",
"address_2": "EXT MS 12/15",
"city": "NORTH QUINCY",
"state": "MA",
"postal_code": "02171",
"telephone_number": "617-246-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NEWPORT AVE",
"address_2": "EXT MS 12/15",
"city": "NORTH QUINCY",
"state": "MA",
"postal_code": "02171",
"telephone_number": "617-246-3232"
}
],
"practiceLocations": [
{
"address_1": "110 Liberty St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023015521",
"country_code": "US",
"telephone_number": "508-894-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICKEN",
"first_name": "HAROLD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "79885",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "79885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.