CHARLES L. ANDERSON, JR. MD – NPI #1720072390
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

CHARLES ANDERSON, JR. is a physician located in WESTWOOD, MA. NPPES has assigned the NPI number 1720072390 to CHARLES ANDERSON, JR. on September 09, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was previously updated about 6 years ago on Dec 09, 2019. 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 CHARLES ANDERSON, JR. below.

NPI Profile for
CHARLES L. ANDERSON, JR.

NPI Number
1720072390
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES L. ANDERSON, JR.
Credentials
MD
Primary location
127 UNIVERSITY AVE
WESTWOOD, MA 02090
Phone: (781) 686-1608 Fax:
Mailing address
23 CRAIGIE TER
NEWTON, MA 02460-2106
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 09, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHARLES ANDERSON, JR.

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
MEDICAIDMA3127991
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
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)
MA 75583

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.