DR. PETER E MASUCCI (NPI# 1215940689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215940689 |
Entity Type | Individual |
Full Name | DR. PETER E MASUCCI |
Credential | M.D. |
Practice Address |
391 Broadway Suite 301 Everett MA 02149-3470 |
Mailing Address |
107 High Ridge Rd Boxford MA 01921-2119 |
Practice Telephone | 6173892121 |
Practice Fax Number | 6173894194 |
Mailing Telephone | 9788873856 |
Mailing Fax Number | 9785611400 |
Enumeration Date | 2006-08-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 40293 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 2051281 | 05 |
Street Address |
391 BROADWAY SUITE 301 |
City | EVERETT |
State | MA |
Zip Code | 02149-3470 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164479002 | Peter E Masucci, Md, PC | Pediatrics | 391 Broadway, Suite 301, Everett, MA 02149-3470 | 2006-05-27 |
1124633110 | Samantha Fox | Health Educator | 391 Broadway, Cha Everett Care Center, Everett, MA 02149 | 2020-09-15 |
1063984920 | Elizabeth Anne Harrison | Registered Nurse | 391 Broadway, Everett, MA 02149-3470 | 2018-12-17 |
1376025783 | Andrew Edward Olsen | Physician Assistant | 391 Broadway, Everett, MA 02149-3470 | 2018-08-31 |
1356837314 | Gerson Roca | Registered Nurse | 391 Broadway, Everett, MA 02149-3470 | 2018-07-02 |
1427543925 | Elizabeth Bancroft Schlesinger | Registered Nurse | 391 Broadway, Everett, MA 02149-3470 | 2018-06-27 |
1861986242 | Richard Lester Rose | Licensed Practical Nurse | 391 Broadway, Everett, MA 02149-3470 | 2018-06-19 |
1033631643 | Pooja Niranjan Dave | Psychologist | 391 Broadway, Everett, MA 02149-3470 | 2017-07-14 |
1285181925 | Analisa Echeverria | Nurse Practitioner | 391 Broadway, Suite 301, Everett, MA 02149-3470 | 2016-09-09 |
1558745273 | Ganaelle Joseph-senatus | Case Manager/Care Coordinator | 391 Broadway, Suite 204, Everett, MA 02149-3470 | 2015-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
Find all providers in zip 02149 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649789595 | Mark Edward Beatty | Pediatrics | 3020 Rucker Ave Ste 306, Everett, WA 98201-3900 | 2017-09-22 |
1366804510 | Arsany Basily | Pediatrics | 1815 13th St, Everett, WA 98201-1679 | 2016-03-27 |
1548691785 | Children's Community Care | Pediatrics | 249 Hospital Dr Lowr Level, Everett, PA 15537-7020 | 2013-12-12 |
1912235060 | Molina Healthcare of Washington, Inc | Pediatrics | 3322 Broadway, Suite 200, Everett, WA 98201-4425 | 2009-12-01 |
1689700155 | Upmc Community Medicine Inc | Pediatrics | 14 E 3rd Ave, Everett, PA 15537-1305 | 2007-02-26 |
1164479002 | Peter E Masucci, Md, PC | Pediatrics | 391 Broadway, Suite 301, Everett, MA 02149-3470 | 2006-05-27 |
1598753733 | Yvonne Qing Ma | Pediatrics | 1019 112th St Sw, Everett, WA 98204-4875 | 2005-10-12 |
1649665829 | Elizabeth Abernathey | Pediatrics | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2015-04-03 |
1366861494 | Rachel Skalina | Pediatrics | 1424 Broadway, Everett, WA 98201-1720 | 2014-04-16 |
1730507393 | Sarah Louise Pinney | Pediatrics | 1818 121st St Se, Everett, WA 98208-5985 | 2014-04-01 |
Find all providers in EVERETT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.