SOUTH SUBURBAN PEDIATRICS – NPI #1760680987
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.

SOUTH SUBURBAN PEDIATRICS is a provider located in QUINCY, MA. NPPES has assigned the NPI number 1760680987 to SOUTH SUBURBAN PEDIATRICS on July 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH SUBURBAN PEDIATRICS below.

NPI Profile for
SOUTH SUBURBAN PEDIATRICS

NPI Number
1760680987
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH SUBURBAN PEDIATRICS
Primary location
101 ADAMS STREET
QUINCY, MA 02169
Phone: (617) 773-7754 Fax: (617) 328-0957
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE HOM
PRESIDENT
Phone: (617) 773-7754
Updated
Identifiers

Identifiers for SOUTH SUBURBAN PEDIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSM17310
OTHERTUFTS667895
MEDICAIDMA9785809
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MA 54474

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.