NPIMap

Organization Active NPI

Pedi-Care Services LLC

  • Registered Nurse
  • Longmeadow, MA
National Provider Identifier
1912241829
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN113398 Issued in MA
Legal business name
PEDI-CARE SERVICES LLC
Practice address
49 Dover Road
Longmeadow, MA 01106-1205
Phone
(413) 567-1023
Fax
(413) 567-1023
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mrs. Dorothy Denny McNamara, RN.
Title
President Pedi-Care Services Inc.
Phone
(413) 567-1023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN113398 MA Primary

Addresses

Primary practice location

49 Dover Road
Longmeadow, MA 01106-1205

Mailing address

49 Dover Road
Longmeadow, MA 01106-1205
Phone (413) 567-1023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1912241829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 DOVER ROAD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061205",
            "telephone_number": "413-567-1023",
            "fax_number": "413-567-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 DOVER ROAD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061205",
            "telephone_number": "413-567-1023",
            "fax_number": "413-567-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDI-CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "DENNY",
        "authorized_official_title_or_position": "PRESIDENT PEDI-CARE SERVICES INC.",
        "authorized_official_telephone_number": "413-567-1023",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN113398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.