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BREWER NYSTUEN PEDIATRICS
NPI 1104034065
Pediatrics in Melrose, MA

Active since May 21, 2007CLIA 22D0705514 · Waiver
548 LEBANON ST, MELROSE, MA 02176(781) 665-4364 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brewer Nystuen Pediatrics NPPES

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

BREWER NYSTUEN PEDIATRICS (NPI 1104034065) is a healthcare organization registered as a pediatrics in Melrose, Massachusetts and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Karen Anne Yarasits, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104034065
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBREWER NYSTUEN PEDIATRICS
Location Address548 LEBANON STMelrose, MA 02176-3226
Mailing Address548 Lebanon StMelrose, MA 02176-3226 · (781) 665-4364
Phone(781) 665-4364
Organization SubpartNo
Authorized OfficialKaren Anne YarasitsOffice Manager · (781) 665-4364
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104034065 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.
548 LEBANON ST, Melrose, MA 02176
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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 22D0705514

Brewer Nystuen Pediatrics · Melrose, MA
Active · expires Aug 31, 2026
CLIA Number22D0705514
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMatthew Brewer MD
Laboratory Phone(781) 665-4364
Laboratory LocationBrewer Nystuen Pediatrics548 Lebanon Street, Melrose, MA 02176
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 2

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

MR. MATTHEW PHILIP BREWER MD
Pediatrics
548 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 665-4364
FELLSWAY PEDIATRICS, PC
Pediatrics
548 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 665-4364

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 Brewer Nystuen Pediatrics's NPI number?

The NPI number for Brewer Nystuen Pediatrics is 1104034065. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Brewer Nystuen Pediatrics located?

Brewer Nystuen Pediatrics is located at 548 Lebanon St, Melrose, MA 02176. The listed phone number is (781) 665-4364.

What is Brewer Nystuen Pediatrics's specialty?

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

Does Brewer Nystuen Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0705514) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brewer Nystuen Pediatrics 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.