NPIMap

Organization Active NPI

John N. Pandiscio, M.D. Family Medicine

  • Family Medicine Physician
  • Hopkinton, MA
National Provider Identifier
1881959039
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44953 Issued in MA
Legal business name
JOHN N. PANDISCIO, M.D. FAMILY MEDICINE
Practice address
169 W Main St
Hopkinton, MA 01748-2175
Phone
(508) 435-6903
Fax
(508) 435-2311
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
John N Pandiscio, M.D.
Title
Owner/Physician
Phone
(508) 435-6903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 44953 MA Primary

Addresses

Primary practice location

169 W Main St
Hopkinton, MA 01748-2175

Mailing address

169 W Main St
Hopkinton, MA 01748-2175
Phone (508) 435-6903

Other identifiers 1

IdentifierTypeStateIssuer
6193358MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1881959039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482175",
            "telephone_number": "508-435-6903",
            "fax_number": "508-435-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482175",
            "telephone_number": "508-435-6903",
            "fax_number": "508-435-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN N. PANDISCIO, M.D. FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "PANDISCIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "508-435-6903",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "44953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6193358",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.