Organization Active NPI

Easy Care Pediatrics LLC

  • Primary Care Clinic/Center
  • Brookline, MA
National Provider Identifier
1962811810
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
214154 Issued in MA
Legal business name
EASY CARE PEDIATRICS LLC
Practice address
1371 Beacon St
Suite 302
Brookline, MA 02446-4905
Phone
(617) 860-3883
Fax
(617) 300-8956
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Dr. Claudia Lavin, M.D., MPHNPI 1508955717
Title
Director
Phone
(617) 860-3883

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
Primary Care Clinic/Center 261QP2300X 214154 MA Primary

Addresses

Primary practice location

1371 Beacon St
Suite 302
Brookline, MA 02446-4905

Mailing address

1371 Beacon St
Suite 302
Brookline, MA 02446-4905
Phone (617) 860-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150520000007 MA Part B Supplier - Clinic/Group Practice 8921328774 Receives reassigned benefits from 1 practitioner
Practice locations: Brookline, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2124323Easy Care Pediatrics LLC1371 Beacon Street Suite 302, Brookline, MA 02446Certificate of waiverJan 12, 2027

National Provider Directory

National Provider Directory

Locations

1371 Beacon St
Ste 302
Brookline, MA 02446
Phone (617) 860-3883

Interoperability endpoints

  • Direct secure messaging: lavin.claudia.ecp@direct.partners.masshiway.net

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": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1962811810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 BEACON ST",
            "address_2": "SUITE 302",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464905",
            "telephone_number": "617-860-3883",
            "fax_number": "617-300-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 BEACON ST",
            "address_2": "SUITE 302",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464905",
            "telephone_number": "617-860-3883",
            "fax_number": "617-300-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY CARE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-860-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., MPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "214154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.