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MACONY, PC
NPI 1023027810
Pediatrics in Great Barrington, MA

Active since August 08, 2006CLIA 22D0671339 · Waiver
100 MAPLE AVE STE 1, GREAT BARRINGTON, MA 01230(413) 528-4047(413) 528-3407 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Macony, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACONY, PC (NPI 1023027810) is a healthcare organization registered as a pediatrics in Great Barrington, Massachusetts and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Laurie W Viebrock, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1023027810
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMACONY, PC
Location Address100 MAPLE AVE STE 1Great Barrington, MA 01230-1965
Mailing Address100 Maple Ave Ste 1Great Barrington, MA 01230-1965 · (413) 528-4047 · Fax (413) 528-3407
Phone(413) 528-4047
Fax(413) 528-3407
Organization SubpartNo
Authorized OfficialLaurie W ViebrockOffice Manager · (413) 528-4047
Enumeration DateAugust 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023027810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
100 MAPLE AVE STE 1, Great Barrington, MA 01230
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Other Identifiers 2

Medicaid9778754MA
Medicaid01682324NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0671339

Macony (bfs) · Great Barrington, MA
Active · expires Jun 4, 2027
CLIA Number22D0671339
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorLisa Sylvia
Laboratory Phone(413) 528-4047
Laboratory LocationMacony (bfs)100 Maple Avenue Suite 1, Great Barrington, MA 01230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESLYE ROBIN HEILIG MD
Pediatrics
100 MAPLE AVE STE 1
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-4047
DR. DEBORAH BUCCINO MD
Pediatrics
100 MAPLE AVE STE 1
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-4047
MITALI SAHA MD
Pediatrics
100 MAPLE AVE STE 1
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-4047
VITALY NAZAROV MD
Pediatrics
100 MAPLE AVE STE 1
GT BARRINGTON, MA 01230
Berkshire County (413) 528-4047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Macony, PC's NPI number?

The NPI number for Macony, PC is 1023027810. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Macony, PC located?

Macony, PC is located at 100 Maple Ave Ste 1, Great Barrington, MA 01230. The listed phone number is (413) 528-4047.

What is Macony, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Macony, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0671339) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Macony, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.