Organization Active NPI

Paul Radvany MD PC

  • Cardiovascular Disease Physician
  • Winchester, MA
National Provider Identifier
1891975157
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
37688 Issued in MA
Legal business name
PAUL RADVANY MD PC
Practice address
15 Dix St
Winchester, MA 01890-1870
Phone
(781) 729-7472
Fax
(781) 721-4584
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Dr. Paulo Radvany, MD
Title
Physician
Phone
(781) 729-7472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 37688 MA Primary

Addresses

Primary practice location

15 Dix St
Winchester, MA 01890-1870

Mailing address

15 Dix St
Winchester, MA 01890-1870
Phone (781) 729-7472

Other identifiers 1

IdentifierTypeStateIssuer
2054477MedicaidMA

National Provider Directory

National Provider Directory

Locations

1021 Main St
Winchester, MA 01890
Phone (781) 721-4701

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1891975157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DIX ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901870",
            "telephone_number": "781-729-7472",
            "fax_number": "781-721-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DIX ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901870",
            "telephone_number": "781-729-7472",
            "fax_number": "781-721-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL RADVANY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "RADVANY",
        "authorized_official_first_name": "PAULO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-729-7472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "37688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054477",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.