MIDDLEBORO PEDIATRICS, PC - NPI 1861556961 - Pediatrics in Lakeville, MA

Q: What is Middleboro Pediatrics, PC's NPI number?

The NPI number for Middleboro Pediatrics, PC is 1861556961. It was assigned to this organization in the NPPES registry on December 21, 2006.

Q: What is Middleboro Pediatrics, PC's specialty?

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

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About Middleboro Pediatrics, Pc NPPES

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

MIDDLEBORO PEDIATRICS, PC (NPI 1861556961) is a healthcare organization registered as a pediatrics in Lakeville, Massachusetts and active in the NPI registry since December 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Neal Gerald Bornstein, President, as its authorized official.

NPPES Registry Identity

NPI1861556961

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMIDDLEBORO PEDIATRICS, PC

Location Address2 LAKEVILLE BUSINESS PARKLakeville, MA 02347-1236

Mailing Address2 Lakeville Business ParkLakeville, MA 02347-1236 · (508) 947-0630 · Fax (508) 947-0639

Phone(508) 947-0630

Fax(508) 947-0639

Organization SubpartNo

Authorized OfficialNeal Gerald BornsteinPresident · (508) 947-0630

Enumeration DateDecember 21, 2006

Last NPPES UpdateOctober 27, 2011

✔ NPI 1861556961 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.

2 LAKEVILLE BUSINESS PARK, Lakeville, MA 02347

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Other Identifiers 3

Medicaid9718605MA

Other713191MA · Tufts Health Care Group #

Medicare ID-Type UnspecifiedM13187MA

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 Accreditation 22D0079985

Middleboro Pediatrics PC · Lakeville, MA

Active · expires Dec 22, 2027

CLIA Number22D0079985

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorCarolina Gapud

Laboratory Phone(508) 947-0630

Laboratory LocationMiddleboro Pediatrics PC2 Lakeville Business Park, Lakeville, MA 02347

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

KAYLA M DELLE CHIAIE NP

Nurse Practitioner (Family)