Ricardo Lewitus MD LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

46064 Issued in MA

Legal business name

RICARDO LEWITUS MD LLC

Practice address

112 Main St
Suite 1028
Northborough, MA 01532-1914

Phone

(508) 393-7807

NPI assigned

Nov 2, 2012

Organization subpart

No

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

Authorized official

Name

Ricard Lewitus, MD

Title

Owner

Phone

(508) 393-7807

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1851645576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "address_2": "SUITE 1028",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-393-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "address_2": "SUITE 1028",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-393-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO LEWITUS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "LEWITUS",
        "authorized_official_first_name": "RICARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-393-7807",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "46064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107557",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Northborough, MA
• Providers in Northborough, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.