Individual provider Active NPI

Rex Corpuz Pajela, M.D.

  • Pediatrics Physician
  • Methuen, MA
National Provider Identifier
1932196268
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
76309 Issued in MA
Practice address
380R Merrimack St
Sute 3B
Methuen, MA 01844-5883
Phone
(978) 687-6355
Fax
(978) 689-7353
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 76309 MA Primary

Addresses

Primary practice location

380R Merrimack St
Sute 3B
Methuen, MA 01844-5883

Mailing address

77 Warren St
RM 339
Brighton, MA 02135
Phone (617) 562-5359

Other identifiers 1

IdentifierTypeStateIssuer
1211439MedicaidMA

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
I20051004000350 MA Practitioner - Pediatric Medicine 5698700177 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Aug 12, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Revere Medical of Massachusetts, PC Past Accepting new patients
Valley Regional Medical Services Past Accepting new patients
Valley Regional Medical Services Past Accepting new patients
Children'S Hospital Pediatric Associates, Inc Pediatrics PastSince Oct 22, 2023 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

77 Warren St
Rm 339
Brighton, MA 02135
Phone (617) 562-5428

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

9 Branch St
Methuen, MA 01844
Phone (978) 327-5410

380R Merrimack St
Ste 3B
Methuen, MA 01844
Phone (978) 687-6355

60 East St
Methuen, MA 01844
Phone (978) 687-0151

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Organizations & group practices 7

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1932196268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "address_2": "RM 339",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-562-5359",
            "fax_number": "617-562-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST",
            "address_2": "SUTE 3B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445883",
            "telephone_number": "978-687-6355",
            "fax_number": "978-689-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJELA",
        "first_name": "REX",
        "middle_name": "CORPUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "76309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1211439",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.