1. Home
  2. Directory
  3. Massachusetts
  4. Hyde Park
  5. Specialist
  6. NPI Profile

HYDE PARK PEDIATRICS, P.C.
NPI 1629144555
Specialist in Hyde Park, MA

Active since November 24, 2006CLIA Certified · 2 labs
695 TRUMAN HWY, SUITE #203, HYDE PARK, MA 02136(617) 361-1470(617) 361-9060 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hyde Park Pediatrics, P.c. NPPES

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

HYDE PARK PEDIATRICS, P.C. (NPI 1629144555) is a healthcare organization registered as a specialist in Hyde Park, Massachusetts and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Carolyn Frank Sax, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1629144555
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHYDE PARK PEDIATRICS, P.C.
Location Address695 TRUMAN HWY, SUITE #203Hyde Park, MA 02136-3552
Mailing Address695 Truman Hwy, Suite #203Hyde Park, MA 02136-3552 · (617) 361-1470 · Fax (617) 361-9060
Phone(617) 361-1470
Fax(617) 361-9060
Organization SubpartNo
Authorized OfficialCarolyn Frank SaxManaging Partner · (617) 361-1470
Enumeration DateNovember 24, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1629144555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
695 TRUMAN HWY, Hyde Park, MA 02136
Open in Google Maps ↗

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 2

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 22D0075910

Hyde Park Pediatrics PC · Hyde Park, MA
Active · expires Nov 14, 2027
CLIA Number22D0075910
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorOlutoyin Fayemi
Laboratory Phone(617) 361-1470
Laboratory LocationHyde Park Pediatrics PC695 Truman Parkway, Suite 203, Hyde Park, MA 02136
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D0934282

Hyde Park Pediatrics Milton Office · Milton, MA
Active · expires Nov 14, 2027
CLIA Number22D0934282
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorOlutoyin Fayemi
Laboratory Phone(617) 361-1470
Laboratory LocationHyde Park Pediatrics Milton Office100 Highland Street Suite 102, Milton, MA 02186
CLIA data matches this NPI record on: 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.

MAWAKANA ONIFADE
Counselor (Mental Health)
695 TRUMAN HWY
BOSTON, MA 02136
Suffolk County (888) 763-7272
BAYSTATE HOMECARE LLC
Home Health
695 TRUMAN HWY, SUITE B101
HYDE PARK, MA 02136
Suffolk County (617) 612-4108
JOCYLINE ARLINDA CORREIA
Counselor (Mental Health)
695 TRUMAN HWY
BOSTON, MA 02136
Suffolk County (888) 763-7272
JOY EGBERTSON PA
Physician Assistant
695 TRUMAN HWY, SUITE #203
HYDE PARK, MA 02136
Suffolk County (617) 361-1470
ADRIANA LOBO
Counselor (Mental Health)
695 TRUMAN HWY
BOSTON, MA 02136
Suffolk County (888) 763-7272
JESSICA BARROS
Counselor (Mental Health)
695 TRUMAN HWY
BOSTON, MA 02136
Suffolk County (888) 763-7272
MRS. CHARLENE L ROSS
Counselor (Mental Health)
695 TRUMAN HWY
HYDE PARK, MA 02136
Suffolk County (617) 898-7030
MICHELLE WYNN
Counselor (Mental Health)
695 TRUMAN HWY
BOSTON, MA 02136
Suffolk County (888) 763-7272

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 Hyde Park Pediatrics, P.C.'s NPI number?

The NPI number for Hyde Park Pediatrics, P.C. is 1629144555. It was assigned to this organization in the NPPES registry on November 24, 2006.

Where is Hyde Park Pediatrics, P.C. located?

Hyde Park Pediatrics, P.C. is located at 695 Truman Hwy Suite #203, Hyde Park, MA 02136. The listed phone number is (617) 361-1470.

What is Hyde Park Pediatrics, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Hyde Park Pediatrics, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Hyde Park Pediatrics, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Hyde Park Pediatrics, 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 Hyde Park Pediatrics, P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.