Organization Active NPI

Pathology Specialists PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Brockton, MA
National Provider Identifier
1952382160
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
42354 Issued in MA
Legal business name
PATHOLOGY SPECIALISTS PC
Practice address
235 N Pearl St
Attn Pathology Dept
Brockton, MA 02301-1794
Phone
(508) 427-3086
Fax
(508) 588-0520
NPI assigned
Nov 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rohini Sakhuja, MDNPI 1790766905
Title
President
Phone
(508) 427-3086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 42354 MA Primary

Addresses

Primary practice location

235 N Pearl St
Attn Pathology Dept
Brockton, MA 02301-1794

Mailing address

460 Totten Pond Rd
C O Mzi
Waltham, MA 02451-1906
Phone (781) 890-9933

Other identifiers 3

IdentifierTypeStateIssuer
M15909OtherMABCBS
732320OtherMATUFTS
9772804MedicaidMA

National Provider Directory

National Provider Directory

Locations

460 Totten Pond Rd
Waltham, MA 02451
Phone (617) 890-9937

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952382160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 TOTTEN POND RD",
            "address_2": "C O MZI",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511906",
            "telephone_number": "781-890-9933",
            "fax_number": "781-890-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "address_2": "ATTN PATHOLOGY DEPT",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-3086",
            "fax_number": "508-588-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAKHUJA",
        "authorized_official_first_name": "ROHINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-427-3086",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "42354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M15909",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "732320",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9772804",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.