Organization Active NPI

Malden OB-GYN Associates, Inc.

  • Obstetrics & Gynecology Physician
  • Malden, MA
National Provider Identifier
1851464390
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
57281 Issued in MA
Legal business name
MALDEN OB-GYN ASSOCIATES, INC.
Practice address
405 Pearl St
Malden, MA 02148-6644
Phone
(781) 324-5006
Fax
(781) 324-5501
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Donald R Monteiro, M.D.NPI 1013080605
Title
President
Phone
(781) 324-5006

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
Obstetrics & Gynecology Physician 207V00000X 57281 MA Primary

Addresses

Primary practice location

405 Pearl St
Malden, MA 02148-6644

Mailing address

405 Pearl St
Malden, MA 02148-6644
Phone (781) 324-5006

Other identifiers 3

IdentifierTypeStateIssuer
602829OtherMATUFTS
9735950MedicaidMA
130371OtherMAHARVARD

National Provider Directory

National Provider Directory

Locations

405 Pearl St
Malden, MA 02148
Phone (781) 321-8785

1 City Hall Plz
Melrose, MA 02176
Phone (781) 662-4390

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851464390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PEARL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486644",
            "telephone_number": "781-324-5006",
            "fax_number": "781-324-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PEARL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486644",
            "telephone_number": "781-324-5006",
            "fax_number": "781-324-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALDEN OB-GYN ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTEIRO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-324-5006",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "57281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "602829",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9735950",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "130371",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, 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.