Start Line Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

210763 Issued in MA

Legal business name

START LINE PEDIATRICS, LLC

Practice address

77 W Main St Ste 201
Hopkinton, MA 01748-1663

Phone

(508) 380-4670

NPI assigned

Mar 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Irfan Rahim, MDNPI 1164521480

Title

Managing Partner

Phone

(508) 435-7100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irfan M Rahim, M.D.

  • Pediatrics Physician
  • Hopkinton, MA
  • NPI 1164521480

  Pediatrics

  NPD (past) Authorized official
• Emily Madalyn Curley, RN

  • Pediatric Registered Nurse
  • Dedham, MA
  • NPI 1003533712
  NPD (past)
• Hallie Green Pearl, MD

  • Pediatrics Physician
  • Hopkinton, MA
  • NPI 1952807893

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1871095802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 CENTRAL ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST STE 201",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481663",
            "telephone_number": "508-380-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START LINE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "RAHIM",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "508-435-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "210763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Simanowski
• Jonathan Smithers, PTA
• Bundit Sopchockchai, M.D.
• Colleen Ward Souza
• David S. St-Laurent, MD
• Starting Line Wellness, LLC
• Steady Steps Home Health & Rehab LLC
• Max Harrison Stefanakos
• Steven T. Perryman OD Inc.
• Katherine Stroud, LICSW

• All providers in Hopkinton, MA
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.