Organization Active NPI

Toby Nathan, M.D., PC

  • Pediatric Adolescent Medicine Physician
  • Bedford, MA
National Provider Identifier
1952432387
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
TOBY NATHAN, M.D., PC
Practice address
41 North Rd
Suite 202
Bedford, MA 01730-1037
Phone
(781) 275-2080
NPI assigned
Mar 8, 2007
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
Toby Janet Nathan, M.D.NPI 1487616116
Title
Owner
Phone
(781) 275-2080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

41 North Rd
Suite 202
Bedford, MA 01730-1037

Mailing address

41 North Rd
Suite 202
Bedford, MA 01730-1037
Phone (781) 275-2080

Other identifiers 2

IdentifierTypeStateIssuer
J24832OtherMABCBS SUSAN S. KIRSCH
2054728MedicaidMA

National Provider Directory

National Provider Directory

Locations

41 North Rd
Ste 202
Bedford, MA 01730
Phone (781) 275-2080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952432387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NORTH RD",
            "address_2": "SUITE 202",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301037",
            "telephone_number": "781-275-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NORTH RD",
            "address_2": "SUITE 202",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301037",
            "telephone_number": "781-275-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBY NATHAN, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-275-2080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SUSAN S. KIRSCH",
            "identifier": "J24832",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054728",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, 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.