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WILMINGTON PEDIATRICS, INC.
NPI 1790841591
Pediatrics in Wilmington, MA

Active since December 28, 2006CLIA 22D2068643 · Waiver
500 SALEM ST, WILMINGTON, MA 01887(978) 988-6209(978) 988-6139 Get Directions Write a Review

NPPES record last updated: February 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilmington Pediatrics, Inc. NPPES

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

WILMINGTON PEDIATRICS, INC. (NPI 1790841591) is a healthcare organization registered as a pediatrics in Wilmington, Massachusetts and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Normand A. Tanguay, President, as its authorized official.

NPPES Registry Identity

NPI1790841591
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWILMINGTON PEDIATRICS, INC.
Location Address500 SALEM STWilmington, MA 01887-1200
Mailing Address500 Salem StWilmington, MA 01887-1200 · (978) 988-6209 · Fax (978) 988-6139
Phone(978) 988-6209
Fax(978) 988-6139
Organization SubpartNo
Authorized OfficialNormand A. TanguayPresident · (978) 988-6209
Enumeration DateDecember 28, 2006
Last NPPES UpdateFebruary 15, 2013
✔ NPI 1790841591 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 SALEM ST, Wilmington, MA 01887
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Other Identifiers 3

OtherM15347MD · Blue Cross Group Number
Other600594MA · Tufts Group Number
Medicaid9765387MA

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 22D2068643

Wilmington Pediatrics · Wilmington, MA
Active · expires Nov 6, 2027
CLIA Number22D2068643
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorDaniel M. Carson
Laboratory Phone(978) 988-6200
Laboratory LocationWilmington Pediatrics500 Salem Street, Wilmington, MA 01887
CLIA data matches this NPI record on: Address Name
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.

MARK A MACKLIS M.D.
Obstetrics & Gynecology
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 988-6240
COURTNEY KING AGNP-C
Nurse Practitioner (Primary Care)
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 664-1990
PAMELA JEAN COTE R.D.,C.D.E.,L.D.
Dietitian, Registered
500 SALEM ST, WINCHESTER HOSPITAL FAMILY MEDICAL CENTER
WILMINGTON, MA 01887
Middlesex County (978) 988-6265
SANDY STEPHENS MD
Pediatrics
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 988-6209
MRS. GAYATHRY SOORIYAKUMAR NENE D.O
Pediatrics
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 988-6200
MELISSA MAZZINI ZORN M.D.
Internal Medicine
500 SALEM ST, WOBURN MEDICAL ASSOCIATES PC
WILMINGTON, MA 01887
Middlesex County (978) 988-9255
MAREN HENNIGAN PUDER FNP
Nurse Practitioner (Family)
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 988-6000
SARA MARIE BARNES AU.D.
Audiologist-Hearing Aid Fitter
500 SALEM ST, ROUTE 62
WILMINGTON, MA 01887
Middlesex County (978) 988-1999

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 Wilmington Pediatrics, Inc.'s NPI number?

The NPI number for Wilmington Pediatrics, Inc. is 1790841591. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Wilmington Pediatrics, Inc. located?

Wilmington Pediatrics, Inc. is located at 500 Salem St, Wilmington, MA 01887. The listed phone number is (978) 988-6209.

What is Wilmington Pediatrics, Inc.'s specialty?

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

Does Wilmington Pediatrics, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2068643) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wilmington Pediatrics, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Wilmington Pediatrics, Inc. 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 Wilmington Pediatrics, Inc. was last updated on February 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.