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BEAVER BROOK PEDIATRIC & ADOLESCENT MEDICINE, P.C.
NPI 1235180100
Pediatrics - Adolescent Medicine in Waltham, MA

Active since May 15, 2006
465 WAVERLEY OAKS RD, SUITE 100, WALTHAM, MA 02452(781) 891-3706(781) 891-3564 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2020, Feb 17, 2017, Dec 29, 2016 (3 updates tracked since 2016).

About Beaver Brook Pediatric & Adolescent Medicine, P.c. NPPES

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

BEAVER BROOK PEDIATRIC & ADOLESCENT MEDICINE, P.C. (NPI 1235180100) is a healthcare organization registered as an adolescent medicine in Waltham, Massachusetts and active in the NPI registry since May 2006. The organization lists Janet L Antonioni, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1235180100
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBEAVER BROOK PEDIATRIC & ADOLESCENT MEDICINE, P.C.
Location Address465 WAVERLEY OAKS RD, SUITE 100Waltham, MA 02452-8438
Mailing Address465 Waverley Oaks Rd, Suite 100Waltham, MA 02452-8438 · (781) 891-3706 · Fax (781) 891-3564
Phone(781) 891-3706
Fax(781) 891-3564
Organization SubpartNo
Authorized OfficialJanet L AntonioniOwner/provider · (781) 891-3706
Enumeration DateMay 15, 2006
Last NPPES UpdateJanuary 21, 20203 updates tracked since enumeration
✔ NPI 1235180100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
465 WAVERLEY OAKS RD, Waltham, MA 02452
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Other Identifiers 1

Medicaid110074250AMA

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 ›

Other Providers at the Same Location NPPES 7

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

PATRICIA EMELY SANCHEZ
Behavior Technician
465 WAVERLEY OAKS RD
WALTHAM, MA 02452
Middlesex County (781) 894-6564
ALICIA LYNNE DABEK
Speech-Language Pathologist
465 WAVERLEY OAKS RD, SUITE 101
WALTHAM, MA 02452
Middlesex County (781) 894-6564
JANET L ANTONIONI MD
Pediatrics (Adolescent Medicine)
465 WAVERLEY OAKS RD, SUITE 100
WALTHAM, MA 02452
Middlesex County (781) 891-3706
DR. ALICE WHITTIER NEWTON MD
Pediatrics
465 WAVERLEY OAKS RD, SUITE 100
WALTHAM, MA 02452
Middlesex County (781) 891-3706
ABIGAIL MAREE BRAYTON-CHUNG OTR/L
Occupational Therapist
465 WAVERLEY OAKS RD, SUITE 101
WALTHAM, MA 02452
Middlesex County (781) 894-6564
NEIL BENECK MD
Pediatrics
465 WAVERLEY OAKS RD, SUITE 100
WALTHAM, MA 02452
Middlesex County (781) 643-7700
CYNTHIA M DEL ORBE
Developmental Therapist
465 WAVERLEY OAKS RD
WALTHAM, MA 02452
Middlesex County (781) 894-6564

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 Beaver Brook Pediatric & Adolescent Medicine, P.C.'s NPI number?

The NPI number for Beaver Brook Pediatric & Adolescent Medicine, P.C. is 1235180100. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Beaver Brook Pediatric & Adolescent Medicine, P.C. located?

Beaver Brook Pediatric & Adolescent Medicine, P.C. is located at 465 Waverley Oaks Rd Suite 100, Waltham, MA 02452. The listed phone number is (781) 891-3706.

What is Beaver Brook Pediatric & Adolescent Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does Beaver Brook Pediatric & Adolescent Medicine, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Beaver Brook Pediatric & Adolescent Medicine, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beaver Brook Pediatric & Adolescent Medicine, P.C. was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.