PEDIATRICS AT NEWTON WELLESLEY, PC (NPI# 1780710640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780710640 |
| Entity Type | Organization |
| Organization Name | PEDIATRICS AT NEWTON WELLESLEY, PC |
| Practice Address |
2000 Washington St Suite #466 Newton MA 02462-1650 |
| Practice Telephone | 6179698989 |
| Practice Fax Number | 6179280178 |
| Mailing Telephone | 6179698989 |
| Mailing Fax Number | 6179280178 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | AUDREY RIDEOUT (PRACTICE MANAGER) |
| Authorized Official Telephone | 6179698989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MA | Allopathic & Osteopathic Physicians |
| Street Address |
2000 WASHINGTON ST SUITE #466 |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952284 | Mitchell Abramson | Internal Medicine | 2000 Washington St, Suite 104, Blue Building, Newton, MA 02462-1650 | 2005-06-16 |
| 1023668209 | Christopher David Caissie | Physician Assistant | 2000 Washington St, Newton, MA 02462-1650 | 2019-09-18 |
| 1760905699 | Jacquelyn Kate Harrow | Internal Medicine | 2000 Washington St, Newton, MA 02462-1650 | 2017-07-23 |
| 1922531615 | Elizabeth Brooks | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-04-10 |
| 1801327648 | Kevin Patrick Mcdonnell | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-03-23 |
| 1750733382 | Jeffrey Mark Lingenfelter | Physician Assistant | 2000 Washington St, Suite 341 White Building, Newton, MA 02462-1650 | 2016-07-07 |
| 1538520713 | Johanna Geoghegan | Physician Assistant | 2000 Washington St, Blue 201, Newton, MA 02462-1650 | 2016-03-15 |
| 1689047193 | Saltzman Urological Associates | Pathology | 2000 Washington St, 660 Green, Newton, MA 02462-1650 | 2015-11-05 |
| 1225424591 | Cassandra Tang | Physician Assistant | 2000 Washington St, Suite 341, Newton, MA 02462-1650 | 2015-04-13 |
| 1346647815 | Berenice Vallette | Physician Assistant | 2000 Washington St, White Building Suite 341, Newton, MA 02462-1650 | 2014-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992239115 | Tomica Dawn Blocker | Pediatrics | Cottonwood Pediatrics, Pa, 700 Medical Center Drive, Ste 150, Newton, KS 67114-9015 | 2017-04-13 |
| 1790188472 | Pediatric Family Health Center LLC | Pediatrics | 10 Moran St, Newton, NJ 07860-1806 | 2014-10-08 |
| 1104961960 | Kid Care, M.d., P.C. | Pediatrics | 300 N 4th Ave E Ste 160, Newton, IA 50208-3122 | 2007-02-20 |
| 1124126065 | Jane Marie Porter | Pediatrics | 34 Heatherland Rd, Newton, MA 02461-2111 | 2006-09-21 |
| 1528093788 | Steven Williammundkur Greer | Pediatrics | 109 Oak St, Suite 103, Newton, MA 02464-1492 | 2006-07-12 |
| 1134155476 | Lynne Fruechting | Pediatrics | Health Ministries Clinic, 209 S. Pine, Newton, KS 67114 | 2006-06-25 |
| 1720028152 | Universal Pediatric Associates, PC | Pediatrics | 11 Nod Hill Rd, Newton, MA 02461-2026 | 2006-06-07 |
| 1043258346 | Susan Deborah Reuter | Pediatrics | 2000 Washington St.reet, Suite 466, Newton, MA 02462 | 2006-06-02 |
| 1386600294 | Thomas Edwin Digby | Pediatrics | 39 Newton-sparta Road, Newton, NJ 07860 | 2006-04-21 |
| 1427025444 | Joel L. Bass | Pediatrics | Newton-wellesley Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-03-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.