Active NPIIndividual provider

Mary Coughlin, NP

Nurse Practitioner, Pediatrics in Dorchester, Massachusetts

NPI Number1699751123
Practice location
398 Neponset Ave, Dorchester, MA 02122-3134
Fax
617-282-7928
Last updated
July 13, 2026

Mary Coughlin is a Nurse Practitioner, Pediatrics based in Dorchester, MA. Mary Coughlin practices in Dorchester, MA and has the professional credentials of NP. The NPI Number for Mary Coughlin is 1699751123 and holds a License No. 169259 (MA). The current practice location address for Mary Coughlin is 398 Neponset Ave, Dorchester, MA 02122-3134 and can be reached out via phone at 617-282-3200 and via fax at 617-282-7928.

Provider Profile Details

NPI Number
1699751123
Provider Name
Mary Coughlin
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
398 Neponset Ave, Dorchester, MA 02122-3134
Phone Number
617-282-3200
Fax Number
617-282-7928
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
398 Neponset Ave
Dorchester, MA 02122-3134
Zip
02122-3134
Phone Number
617-282-3200
Fax Number
617-282-7928
Dorchester, MA 02122Get directions →

Provider Business Mailing Address Details

Address
55 Hodgkinson St
Quincy, MA 02169-5907
City
Quincy
State
MA
Zip
02169-5907
Phone Number
617-481-1904

License Information

License Number
169259
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · 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 Mary Coughlin, NP?

The NPI number of Mary Coughlin, NP is 1699751123. It was assigned on December 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Mary Coughlin, NP?

Mary Coughlin, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number 169259.

Where does Mary Coughlin, NP practice?

The practice location is 398 Neponset Ave, Dorchester, MA 02122-3134. The office can be reached at 617-282-3200 (phone) or 617-282-7928 (fax).

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 1699751123 directly on the NPPES registry website.

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