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ROSLINDALE PEDIATRIC ASSOCIATES, P.C.
NPI 1578617445
Pediatrics in Boston, MA

Active since January 22, 2007CLIA 22D0075658 · Waiver
1153 CENTRE ST, 31, BOSTON, MA 02130(617) 522-3100(617) 522-6366 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roslindale Pediatric Associates, P.c. NPPES

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

ROSLINDALE PEDIATRIC ASSOCIATES, P.C. (NPI 1578617445) is a healthcare organization registered as a pediatrics in Boston, Massachusetts and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 30, 2028 and lists Robert D Stacks, President, as its authorized official.

NPPES Registry Identity

NPI1578617445
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameROSLINDALE PEDIATRIC ASSOCIATES, P.C.
Location Address1153 CENTRE ST, 31Boston, MA 02130-3446
Mailing Address1153 Centre St, 31Boston, MA 02130-3446 · (617) 522-3100 · Fax (617) 522-6366
Phone(617) 522-3100
Fax(617) 522-6366
Organization SubpartNo
Authorized OfficialRobert D StacksPresident · (617) 522-3100
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578617445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 29672
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.
1153 CENTRE ST, Boston, MA 02130
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Other Identifiers 5

OtherM14816MA · Blue Cross Blue Shield Ma
Other0036005MA · Neighborhood Hlth Plan
Other9058MA · Aetna Us Healthcare
Other600454MA · Tufts
Medicaid9757864MA

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 Waiver 22D0075658

Roslindale Pediatric Associates PC · Boston, MA
Active · expires Mar 30, 2028
CLIA Number22D0075658
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorAndrew Saluti
Laboratory Phone(617) 522-3100
Laboratory LocationRoslindale Pediatric Associates PC2020 Centre Street, Boston, MA 02132
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. MARY RAY MAZAKA LICSW
Social Worker (Clinical)
1153 CENTRE ST, 2ND FLOOR
BOSTON, MA 02130
Suffolk County (617) 983-7233
MRS. ELAINE ANN CHARBONNIER NP
Nurse Practitioner (Adult Health)
1153 CENTRE ST, FAULKNER HOSPITAL , DEPT OF PREADMISSION TESTING
BOSTON, MA 02130
Suffolk County (617) 933-4600
HYEJUNG KIM RPH
Pharmacist
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (851) 404-5397
FAINA NAKHLIS MD
Surgery (Surgical Oncology)
1153 CENTRE ST, FAULKNER BREAST CENTRE
BOSTON, MA 02130
Suffolk County (617) 983-7777
CATHERINE COQUINCO LLAMAS PA
Physician Assistant
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-7132
KRISTIN MARIE STELTER LICSW, MFA
Social Worker (Clinical)
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 983-4470
DOLORES MARIE SULA PA-C
Physician Assistant
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 983-7000
DR. STACI R EISENBERG MD
Internal Medicine
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-7025

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 Roslindale Pediatric Associates, P.C.'s NPI number?

The NPI number for Roslindale Pediatric Associates, P.C. is 1578617445. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Roslindale Pediatric Associates, P.C. located?

Roslindale Pediatric Associates, P.C. is located at 1153 Centre St 31, Boston, MA 02130. The listed phone number is (617) 522-3100.

What is Roslindale Pediatric Associates, P.C.'s specialty?

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

Does Roslindale Pediatric Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0075658) is associated with this NPI, valid through March 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roslindale Pediatric Associates, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Roslindale Pediatric Associates, 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 Roslindale Pediatric Associates, P.C. 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 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.