QUINCY PEDIATRIC ASSOCIATES INC - NPI 1063582781

Q: What is Quincy Pediatric Associates Inc's NPI number?

The NPI number for Quincy Pediatric Associates Inc is 1063582781. It was assigned to this organization in the NPPES registry on November 9, 2006.

Q: What is Quincy Pediatric Associates Inc's specialty?

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

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About Quincy Pediatric Associates Inc NPPES

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

QUINCY PEDIATRIC ASSOCIATES INC (NPI 1063582781) is a healthcare organization registered as a pediatrics in Quincy, Massachusetts and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 3, 2026 and lists Roberta Broderick, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1063582781

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameQUINCY PEDIATRIC ASSOCIATES INC

Location Address191 INDEPENDENCE AVEQuincy, MA 02169-7751

Mailing Address191 Independence AveQuincy, MA 02169-7751

Phone(617) 773-5070

Organization SubpartNo

Authorized OfficialRoberta BroderickPractice Manager · (781) 837-4044

Enumeration DateNovember 9, 2006

Last NPPES UpdateMay 23, 2014

✔ NPI 1063582781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MA · 208000000X

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.

191 INDEPENDENCE AVE, Quincy, MA 02169

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Other Identifiers 6

Other552112MA · United Health Care

OtherM10943MA · Blue Cross Blue Shield

Other9101MA · Aetna

Medicaid9700919MA

Other600012BMA · Tufts Health Plan

Other601040MA · Harvard Pilgrim Health Ca

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Compliance 22D0078249

Quincy Pediatric Associates, Inc · Quincy, MA

Active · expires Oct 3, 2026

CLIA Number22D0078249

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2024

Certificate Expiration DateOctober 3, 2026

Laboratory DirectorKari L. Mansour

Laboratory Phone(617) 773-5070

Laboratory LocationQuincy Pediatric Associates, Inc191 Independence Ave, Quincy, MA 02169

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 10

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

MARY MCGAUGH M.D.

Pediatrics