REVERE WINTHROP PEDIATRICS
NPI 1083788756
Pediatrics in Revere, MA

Q: What is Revere Winthrop Pediatrics's NPI number?

The NPI number for Revere Winthrop Pediatrics is 1083788756. It was assigned to this organization in the NPPES registry on November 17, 2006.

Q: What is Revere Winthrop Pediatrics's specialty?

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

Active since November 17, 2006CLIA 22D0077278 · Certificate of Compliance

280 BEACH STREET, REVERE, MA 02151(781) 289-5057(781) 289-4485 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revere Winthrop Pediatrics NPPES

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

REVERE WINTHROP PEDIATRICS (NPI 1083788756) is a healthcare organization registered as a pediatrics in Revere, Massachusetts and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 26, 2028 and lists Ailish M Hayes, Md President, as its authorized official.

NPPES Registry Identity

NPI1083788756

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameREVERE WINTHROP PEDIATRICS

Location Address280 BEACH STREETRevere, MA 02151

Mailing Address280 Beach StreetRevere, MA 02151 · (781) 289-5057 · Fax (781) 289-4485

Phone(781) 289-5057

Fax(781) 289-4485

Organization SubpartNo

Authorized OfficialAilish M HayesMd President · (781) 289-5057

Enumeration DateNovember 17, 2006

Last NPPES UpdateDecember 10, 2007

✔ NPI 1083788756 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.

280 BEACH STREET, Revere, MA 02151

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Other Identifiers 1

Medicare PINJ04089MA

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 Compliance 22D0077278

Tlc Pediatrics Dba Revere-Winthrop Pediatrics · Revere, MA

Active · expires Feb 26, 2028

CLIA Number22D0077278

Laboratory TypePhysician Office

Certificate Effective DateFebruary 27, 2026

Certificate Expiration DateFebruary 26, 2028

Laboratory DirectorDr. Janet T. Chua

Laboratory Phone(781) 289-5057

Laboratory LocationTlc Pediatrics Dba Revere-Winthrop Pediatrics280 Beach Street, Revere, MA 02151

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

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

MARISSA ROSE LEAVERSUCH CPNP

Nurse Practitioner (Pediatrics)

280 BEACH STREET
REVERE, MA 02151

Suffolk County (781) 289-5057

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 Revere Winthrop Pediatrics's NPI number?

The NPI number for Revere Winthrop Pediatrics is 1083788756. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Revere Winthrop Pediatrics located?

Revere Winthrop Pediatrics is located at 280 Beach Street, Revere, MA 02151. The listed phone number is (781) 289-5057.

What is Revere Winthrop Pediatrics's specialty?

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

Does Revere Winthrop Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D0077278) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revere Winthrop Pediatrics was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.