Lily Luo – Pediatrics Physician in Quincy, MA

Key facts

NPI: 1831534205
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 265003 (MA)
Practice address: 54 Billings Rd
Quincy, MA 02171-2302
Phone: (617) 773-5400
NPI assigned: Apr 30, 2013
Sex: Female
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.

Community Pediatrics PC Pediatrics Physician · Quincy, MA · NPI 1386768752

NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
265003	MA	MD	Child & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Community Pediatrics PC	Pediatrics	Past	Accepting new patients

Interoperability endpoints

Direct secure messaging: lluo12532@direct.chppoc.masshiway.net

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	265003	MA	Yes

Addresses

Primary practice location

54 Billings Rd
Quincy, MA 02171-2302

Mailing address

54 Billings Rd
Quincy, MA 02171-2302
Phone (617) 773-5400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2016.

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1831534205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BILLINGS RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712302",
            "telephone_number": "617-773-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BILLINGS RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712302",
            "telephone_number": "617-773-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "LILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "265003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

All providers in Quincy, MA · Pediatrics Physician in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.