Individual provider Active NPI

George Arthur Vaida, M.D.

  • Allergy Physician
  • Norwood, MA
National Provider Identifier
1902962863
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
45948 Issued in MA
Practice address
95 Chapel St
Annex
Norwood, MA 02062-3155
Phone
(781) 769-9045
Fax
(781) 769-0420
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 45948 MA Primary

Addresses

Primary practice location

95 Chapel St
Annex
Norwood, MA 02062-3155

Mailing address

95 Chapel St
Annex
Norwood, MA 02062-3155
Phone (781) 769-9045

Other identifiers 1

IdentifierTypeStateIssuer
0140775MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000335 MA Practitioner - Allergy/Immunology 4385676519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Columbia University College of Physicians and Surgeons, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aasp Allergy and Asthma Specialty Physicians PCGroup PAC ID 1052478864, 2 clinicians

Practice addresses (Care Compare)

95 Chapel St
Norwood, MA 02062-3155
Phone (781) 769-9045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45948MAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aasp Allergy & Asthma Specialty Physicians, PC Allergy CurrentSince Mar 1, 1981 Accepting new patients

Locations

95 Chapel St
Ste Anx
Norwood, MA 02062
Phone (781) 769-9045

825 Washington St
Ste 380
Norwood, MA 02062
Phone (781) 769-9045

825 Washington St
Norwood, MA 02062
Phone (781) 551-8600

3 Wilkens Dr
Plainville, MA 02762
Phone (508) 316-1001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1902962863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST",
            "address_2": "ANNEX",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623155",
            "telephone_number": "781-769-9045",
            "fax_number": "781-769-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHAPEL ST",
            "address_2": "ANNEX",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623155",
            "telephone_number": "781-769-9045",
            "fax_number": "781-769-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDA",
        "first_name": "GEORGE",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "45948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140775",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.