TLC PEDIATRICS PC


Address: 280 Beach St, Revere, MA 02151-3143
Phone: 7812895057

TLC PEDIATRICS PC (NPI# 1962708271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962708271
Entity Type Organization
Organization Name TLC PEDIATRICS PC
Other Organization Name REVERE-WINTHROP PEDIATRICS
Practice Address 280 Beach St
Revere
MA 02151-3143
Practice Telephone 7812895057
Practice Fax Number 7812894485
Mailing Telephone 7812895057
Mailing Fax Number 7812894485
Enumeration Date 2011-02-03
Last Update Date 2020-07-09
Authorized Official Name DR. JANET TIENG CHUA (PRESIDENT)
Authorized Official Telephone 7812895057
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Revere-Winthrop Pediatrics Doing Business As Name - Organization

Office Location

Street Address 280 BEACH ST
City REVERE
State MA
Zip Code 02151-3143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750388419 Janet T. Chua Pediatrics 280 Beach St, Revere, MA 02151-3143 2005-07-07
1699135657 Crystal Grimes Nurse Practitioner 280 Beach St, Revere, MA 02151-3143 2016-03-03
1538249263 Leonard I Firer Pediatrics 280 Beach St, Revere, MA 02151-3143 2006-10-17
1134168222 Frank T Dimasi Obstetrics & Gynecology 280 Beach St, Revere, MA 02151-3143 2006-06-05
1013908318 Steven J Dakoyannis Obstetrics & Gynecology 280 Beach St, Revere, MA 02151-3143 2005-11-04
1215934070 Joan Granitsas Pediatrics 280 Beach St, Revere, MA 02151-3143 2005-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558853580 Carla Richman Behavioral Analyst 29 Arnold Street, Revere, MA 02151 2018-06-05
1558859850 Citizens Physical Therapy Inc Clinic/Center 221 Beach St, Revere, MA 02151 2018-04-23
1396254892 Holness Home Care Home Health 959 Revere Beach Parkway, Revere, MA 02151 2017-09-27
1841709938 Stefanie Finocchio-durham Acupuncturist 107 Pearl Ave, Apt 3, Revere, MA 02151 2017-09-21
1174064265 Hope Noelle Crowe Behavioral Analyst 164 Winthrop Parkway, Revere, MA 02151 2017-03-09
1033660469 Driss Bahraoui Interpreter 21 Thornton St #1, Revere, MA 02151 2016-10-20
1568910081 Lindsey J. Ellermeyer Student in an Organized Health Care Education/Training Program Revere Community Counseling, 265 Beach Street, Revere, MA 02151 2016-09-13
1851743470 Jacqueline Galvez Counselor 252 Proctor Ave # 3, Revere, MA 02151 2016-07-07
1518321090 Kathleen Elizabeth Pellecchia Health Educator 454 Broadway Fl 3, Revere, MA 02151 2016-04-11
1780098814 David A Gross Internal Medicine Mgh Revere, 385 Broadway, Revere, MA 02151 2014-06-17
Find all providers in zip 02151

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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/certification
- 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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033359898 Bharati Reejhsinghani Md Pediatrics 754 Chestnut St, Springfield, MA 01107-1614 2009-03-05
1437301900 Vaibhav Goyal Pediatrics 874 Purchase Street, Greater New Bedford Community Health, New Bedford, MA 02740 2008-10-16
1649455973 Robert J. Giordano Md PC Pediatrics 100 South St Ste 205, Southbridge, MA 01550-4051 2008-01-06
1407979560 Bharati Nandlal Reejhsinghani Pediatrics 754 Chestnut Street, Springfield, MA 01107 2007-04-06
1609903582 Harris C Faigel Pediatrics 55 Kensington Cir, Chestnut Hill, MA 02467-2675 2007-02-27
1871667303 Brian J. Dempsey Md Pediatrics 758 East St, Pittsfield, MA 01201-5326 2006-11-17
1295757268 Mark Vonnegut Pediatrics 21 Totman Street #2, Quincy, MA 02169 2006-07-25
1356390215 Richard John Kerbel Pediatrics 548 Mount Auburn St, Watertown, MA 02472-4122 2006-05-09
1487602884 Paula K Braverman Pediatrics 50 Wason Avenue, Springfield, MA 01107-1274 2006-05-05
1619930559 Marianne Sarah Koenig Pediatrics 449 Route 130, Sandwich, MA 02563-2339 2006-04-11
Find all providers with the same taxonomy

Competitor

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City REVERE
Zip Code 02151

Improve Information

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Dataset Information

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.

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