NPIMap

Organization Active NPI

Pediatric Health Care Associates PC

  • Pediatrics Physician
  • Peabody, MA
National Provider Identifier
1821153180
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC HEALTH CARE ASSOCIATES PC
Practice address
10 Centennial Drive
Peabody, MA 01960
Phone
(978) 535-1110
Fax
(978) 535-2907
NPI assigned
Dec 27, 2006
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Stephen David KanarekNPI 1447219944
Title
President
Phone
(978) 535-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

10 Centennial Drive
Peabody, MA 01960

Mailing address

10 Centennial Drive
Peabody, MA 01960
Phone (978) 535-1110

National Provider Directory

National Provider Directory

Locations

225 Boston St
Ste 201
Lynn, MA 01904

225 Boston St
Ste 306
Lynn, MA 01904
Phone (617) 362-3139

467 Main St
Melrose, MA 02176
Phone (781) 662-2276

467 Main St
Rear
Melrose, MA 02176

467R Main St
Melrose, MA 02176
Phone (508) 535-1110

476 Main St
Melrose, MA 02176

10 Centennial Dr
Ste 104
Peabody, MA 01960
Phone (978) 535-1110

30 New Crossing Rd
Ste 300
Reading, MA 01867
Phone (781) 213-5150

467 Main St
#R
Reading, MA 01867

600 Loring Ave
Salem, MA 01970

92 Montvale Ave
Stoneham, MA 02180
Phone (781) 279-7040

92 Montvale Ave
Ste 4100
Stoneham, MA 02180
Phone (781) 832-2530

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1821153180",
    "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": {
        "organization_name": "PEDIATRIC HEALTH CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "KANAREK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-535-1110"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 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.

Verify at the official NPI Registry.