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COMMONWEALTH OB-GYN, PC
NPI 1912082694
Specialist in Brookline, MA

Active since October 25, 2006CLIA 22D1030927 · Waiver
1 BROOKLINE PL, SUITE 305, BROOKLINE, MA 02445(617) 732-1510(617) 732-0986 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Commonwealth Ob-gyn, Pc NPPES

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

COMMONWEALTH OB-GYN, PC (NPI 1912082694) is a healthcare organization registered as a specialist in Brookline, Massachusetts and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Derna Demaggio, President, as its authorized official.

NPPES Registry Identity

NPI1912082694
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOMMONWEALTH OB-GYN, PC
Location Address1 BROOKLINE PL, SUITE 305Brookline, MA 02445-7224
Mailing Address1 Brookline Pl, Suite 305Brookline, MA 02445-7224 · (617) 732-1510 · Fax (617) 732-0986
Phone(617) 732-1510
Fax(617) 732-0986
Organization SubpartNo
Authorized OfficialDerna DemaggioPresident · (617) 732-1510
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 1, 2007
✔ NPI 1912082694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 79073
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.
1 BROOKLINE PL, Brookline, MA 02445
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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 22D1030927

Commonwealth Obgyn, PC · Brookline, MA
Active · expires Sep 20, 2026
CLIA Number22D1030927
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorCharissa Pettyjohn
Laboratory Phone(617) 732-1510
Laboratory LocationCommonwealth Obgyn, PCOne Brookline Place Suite 305, Brookline, MA 02445
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.

JEROME FEDERSCHNEIDER M.D.
Obstetrics & Gynecology
1 BROOKLINE PL
BROOKLINE, MA 02445
Norfolk County (617) 735-8910
COURTNEY ELIZABETH CATALANO MSN, RN, CPNP
Nurse Practitioner (Pediatrics)
1 BROOKLINE PL, SUITE 327
BROOKLINE, MA 02445
Norfolk County (617) 735-8585
JOSEPH PINES, M.D.,L.L.C
Internal Medicine
1 BROOKLINE PL, SUITE 623
BROOKLINE, MA 02445
Norfolk County (617) 731-0227
LYNN A STAZZONE NP
Registered Nurse (Neuroscience)
1 BROOKLINE PL, BWH PARTNERS MULTIPLE SCLEROSIS CENTER
BROOKLINE, MA 02445
Norfolk County (617) 525-6550
DR. CAROLYN A BERNSTEIN MD
Psychiatry & Neurology (Neurology)
1 BROOKLINE PL, HMFP COMPREHENSIVE HEADACHE CENTER, SUITE 121
BROOKLINE, MA 02445
Norfolk County (617) 278-8080
BRYANN BROMLEY M.D.
Radiology (Diagnostic Radiology)
1 BROOKLINE PL, SUITE 506
BROOKLINE, MA 02445
Norfolk County (617) 739-0245
THOMAS D SHIPP MD
Obstetrics & Gynecology
1 BROOKLINE PL, SUITE 506
BROOKLINE, MA 02445
Norfolk County (617) 739-0245
DR. HANNAH JACKSON PARKER M.D.
Obstetrics & Gynecology
1 BROOKLINE PL, SUITE 305
BROOKLINE, MA 02445
Norfolk County (617) 732-1510

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 Commonwealth Ob-Gyn, PC's NPI number?

The NPI number for Commonwealth Ob-Gyn, PC is 1912082694. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Commonwealth Ob-Gyn, PC located?

Commonwealth Ob-Gyn, PC is located at 1 Brookline Pl Suite 305, Brookline, MA 02445. The listed phone number is (617) 732-1510.

What is Commonwealth Ob-Gyn, PC's specialty?

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

Does Commonwealth Ob-Gyn, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1030927) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Commonwealth Ob-Gyn, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Commonwealth Ob-Gyn, 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 Commonwealth Ob-Gyn, PC was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.