Active NPIIndividual provider

Adriana I Gordon De Jesus

Pediatrics in Winchester, Massachusetts

NPI Number1669024592
Practice location
41 Highland Ave, Winchester, MA 01890-1446
Fax
—
Last updated
January 23, 2025

Adriana I Gordon De Jesus is a Pediatrics based in Winchester, MA. Adriana I Gordon De Jesus practices in Winchester, MA. The NPI Number for Adriana I Gordon De Jesus is 1669024592 and holds a License No. 15447 (PR). The current practice location address for Adriana I Gordon De Jesus is 41 Highland Ave, Winchester, MA 01890-1446 and can be reached out via phone at 781-729-9000.

Provider Profile Details

NPI Number
1669024592
Provider Name
Adriana I Gordon De Jesus
Provider Entity Type
Individual
Gender
Female
Address
41 Highland Ave, Winchester, MA 01890-1446
Phone Number
781-729-9000
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2019
Last Update Date
January 23, 2025
Certification Date
January 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Highland Ave
Winchester, MA 01890-1446
Zip
01890-1446
Phone Number
781-729-9000
Winchester, MA 01890Get directions →

Provider Business Mailing Address Details

Address
300 Longwood Ave
Boston, MA 02115-5724
City
Boston
State
MA
Zip
02115-5724
Phone Number
617-355-6000

License Information

License Number (1)
15447
License State (1)
PR
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
22458
License State (2)
PR
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
1019371
License State (3)
MA
Taxonomy (3)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adriana I Gordon De Jesus?

The NPI number of Adriana I Gordon De Jesus is 1669024592. It was assigned on July 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Adriana I Gordon De Jesus?

Adriana I Gordon De Jesus is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in PR under license number 15447.

Where does Adriana I Gordon De Jesus practice?

The practice location is 41 Highland Ave, Winchester, MA 01890-1446. The office can be reached at 781-729-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669024592 directly on the NPPES registry website.

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