Organization Active NPI

West Suburban Pediatrics

  • Pediatrics Physician
  • Wellesley Hills, MA
National Provider Identifier
1831131333
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WEST SUBURBAN PEDIATRICS
Practice address
258 Washington St
Wellesley Hills, MA 02481-4964
Phone
(781) 431-2360
Fax
(781) 431-2366
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James I Goldston, MD
Title
President
Phone
(781) 431-2360

Specialties & licenses 1

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

Addresses

Primary practice location

258 Washington St
Wellesley Hills, MA 02481-4964

Mailing address

258 Washington St
Wellesley Hills, MA 02481-4964
Phone (781) 431-2360

Other identifiers 3

IdentifierTypeStateIssuer
M17471OtherMABLUE SHIELD GROUP NUMBER
686394OtherMATUFTS GROUP NUMBER
9787429MedicaidMA

National Provider Directory

National Provider Directory

Locations

258 Washington St
Wellesley Hls, MA 02481
Phone (781) 237-7400

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831131333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 WASHINGTON ST",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024814964",
            "telephone_number": "781-431-2360",
            "fax_number": "781-431-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 WASHINGTON ST",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024814964",
            "telephone_number": "781-431-2360",
            "fax_number": "781-431-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-431-2360",
        "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": "BLUE SHIELD GROUP NUMBER",
            "identifier": "M17471",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP NUMBER",
            "identifier": "686394",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787429",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • 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.