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BEACON PEDIATRICS LLC
NPI 1962186049
Pediatrics in Norwell, MA

Active since June 09, 2023CLIA 22D2287090 · Waiver
600 LONGWATER DR FL 2, NORWELL, MA 02061(781) 745-3322 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 5, 2023, Jul 24, 2023, Jun 9, 2023 (3 updates tracked since 2023).

About Beacon Pediatrics Llc NPPES

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

BEACON PEDIATRICS LLC (NPI 1962186049) is a healthcare organization registered as a pediatrics in Norwell, Massachusetts and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Gina S Boutwell, President, as its authorized official.

NPPES Registry Identity

NPI1962186049
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBEACON PEDIATRICS LLC
Location Address600 LONGWATER DR FL 2Norwell, MA 02061-1639
Mailing Address600 Longwater Dr Fl 2Norwell, MA 02061-1639 · (781) 745-3322 · Fax (781) 561-0610
Phone(781) 745-3322
Organization SubpartNo
Authorized OfficialGina S BoutwellPresident · (781) 745-3322
Enumeration DateJune 9, 2023
Last NPPES UpdateDecember 5, 20233 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1962186049 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.
600 LONGWATER DR FL 2, Norwell, MA 02061
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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 22D2287090

Beacon Pediatrics · Norwell, MA
Active · expires Aug 8, 2027
CLIA Number22D2287090
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorCharles F. Polcari
Laboratory Phone(781) 745-3322
Laboratory LocationBeacon Pediatrics600 Longwater Drive, Floor 2, Norwell, MA 02061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GINA S. BOUTWELL M.D.
Pediatrics
600 LONGWATER DR FL 2
NORWELL, MA 02061
Plymouth County (781) 745-3322
MRS. ALEXANDRA WILCOX LMHC
Counselor (Mental Health)
600 LONGWATER DR FL 2
NORWELL, MA 02061
Plymouth County (781) 745-3322

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 Beacon Pediatrics LLC's NPI number?

The NPI number for Beacon Pediatrics LLC is 1962186049. It was assigned to this organization in the NPPES registry on June 9, 2023.

Where is Beacon Pediatrics LLC located?

Beacon Pediatrics LLC is located at 600 Longwater Dr Fl 2, Norwell, MA 02061. The listed phone number is (781) 745-3322.

What is Beacon Pediatrics LLC's specialty?

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

Does Beacon Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2287090) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beacon Pediatrics LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Beacon Pediatrics LLC 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 Beacon Pediatrics LLC was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.