1. Home
  2. Directory
  3. Massachusetts
  4. Quincy
  5. Pediatrics
  6. NPI Profile

CROWN COLONY PEDIATRICS PC
NPI 1477591469
Pediatrics in Quincy, MA

Active since June 03, 2006CLIA 22D0078133 · Certificate of Compliance
500 CONGRESS ST, SUITE 1F, QUINCY, MA 02169(617) 471-3411 Get Directions Write a Review

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

About Crown Colony Pediatrics Pc NPPES

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

CROWN COLONY PEDIATRICS PC (NPI 1477591469) is a healthcare organization registered as a pediatrics in Quincy, Massachusetts and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 19, 2028 and lists Leslie Ronnie Blachman, President, as its authorized official.

NPPES Registry Identity

NPI1477591469
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCROWN COLONY PEDIATRICS PC
Location Address500 CONGRESS ST, SUITE 1FQuincy, MA 02169-0908
Mailing Address500 Congress St, Suite 1fQuincy, MA 02169-0908 · (617) 471-3411
Phone(617) 471-3411
Organization SubpartNo
Authorized OfficialLeslie Ronnie BlachmanPresident · (617) 471-3411
Enumeration DateJune 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1477591469 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.
500 CONGRESS ST, Quincy, MA 02169
Open in Google Maps ↗

Other Identifiers 1

Medicaid9782362MA

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 22D0078133

Crown Colony Pediatrics · Quincy, MA
Active · expires May 19, 2028
CLIA Number22D0078133
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorBarbara E. Angus
Laboratory Phone(617) 471-3411
Laboratory LocationCrown Colony Pediatrics500 Congress Street, Suite 1F, 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 20

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

DR. LISA BRANCATO CORKINS MD
Pediatrics
500 CONGRESS ST, SUITE 1F
QUINCY, MA 02169
Norfolk County (617) 471-3411
NOPSARAN CHAIMATTAYOMPOL, DMD, PC
Dentist (General Practice)
500 CONGRESS ST, SUITE#3E
QUINCY, MA 02169
Norfolk County (617) 328-0693
DR. BARBARA NANKIN DMD
Dentist (General Practice)
500 CONGRESS ST, SUITE 2D
QUINCY, MA 02169
Norfolk County (617) 471-9444
MRS. LINDA COLLINS M.A., CCC-A
Audiologist
500 CONGRESS ST
QUINCY, MA 02169
Norfolk County (617) 376-8840
DR. RIZKALLA A. MOUCHATI MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
500 CONGRESS ST, SUITE 1H
QUINCY, MA 02169
Norfolk County (617) 786-0066
GUY SPINELLI M.D.
Internal Medicine
500 CONGRESS ST, 3RD FLOOR
QUINCY, MA 02169
Norfolk County (617) 471-0033
ROBERT SALZMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
500 CONGRESS ST, 3RD FLOOR
QUINCY, MA 02169
Norfolk County (617) 471-0033
DR. GENEVIEVE B BRODERICK M.D.
Surgery (Plastic and Reconstructive Surgery)
500 CONGRESS ST, SUITE B1
QUINCY, MA 02169
Norfolk County (617) 472-6764

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 Crown Colony Pediatrics PC's NPI number?

The NPI number for Crown Colony Pediatrics PC is 1477591469. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Crown Colony Pediatrics PC located?

Crown Colony Pediatrics PC is located at 500 Congress St Suite 1F, Quincy, MA 02169. The listed phone number is (617) 471-3411.

What is Crown Colony Pediatrics PC's specialty?

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

Does Crown Colony Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D0078133) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crown Colony Pediatrics PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Crown Colony Pediatrics PC 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 Crown Colony Pediatrics 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.