NPIMap

Organization Active NPI

Merrimack Valley Pediatric Associates

  • Pediatrics Physician
  • Billerica, MA
National Provider Identifier
1982693891
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MERRIMACK VALLEY PEDIATRIC ASSOCIATES
Practice address
221 Boston Rd
Suite 8
Billerica, MA 01862-2321
Phone
(978) 667-9611
Fax
(978) 667-2282
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Lisa A Stanley
Title
Office Manager
Phone
(978) 667-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

221 Boston Rd
Suite 8
Billerica, MA 01862-2321

Mailing address

221 Boston Rd
Suite 8
Billerica, MA 01862-2321
Phone (978) 667-9611

National Provider Directory

National Provider Directory

Locations

1 Meeting House Rd
Ste B
Chelmsford, MA 01824

221 Boston Rd
Ste 8
North Billerica, MA 01862
Phone (978) 667-9611

Practitioners & affiliated clinicians

Practitioners 5

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": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1982693891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BOSTON RD",
            "address_2": "SUITE 8",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018622321",
            "telephone_number": "978-667-9611",
            "fax_number": "978-667-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BOSTON RD",
            "address_2": "SUITE 8",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018622321",
            "telephone_number": "978-667-9611",
            "fax_number": "978-667-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK VALLEY PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-667-9611"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.