David M Berowitz, M.D.

Key facts

NPI

1831209246

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

81736 (MA)

Practice address

South Shore Hospital
55 Fogg Rd. Attn Med Staff Off
South Weymouth, MA 02190

Phone

(781) 340-4075

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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.

• Children'S Hospital Pediatric Associates, Inc Pediatrics Physician · Boston, MA · NPI 1457306664
  Medicare reassignment NPD MA · PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 17, 2009.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1831209246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CAPTAIN JOSHUA LN",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611147",
            "telephone_number": "781-340-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH SHORE HOSPITAL",
            "address_2": "55 FOGG RD. ATTN MED STAFF OFF",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "781-340-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEROWITZ",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "81736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3136612",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in South Weymouth, MA · Pediatrics Physician in Massachusetts