Active NPI
Paul Radvany MD PC
- Cardiovascular Disease Physician
- Winchester, MA
National Provider Identifier
1891975157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 37688
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2054477 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
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.