DR. JANET C. TODARO - NPI NUMBER 1952478901

Summary

Provider Name: DR. JANET C. TODARO

NPI Number: 1952478901

Clasification: Specialist (174400000X)

Address:
1 WIDGER RD
MEDICAL OFFICE BUILDING , SUITE 305
MARBLEHEAD, MA
ZIP 01945

Phone Number: (781) 639-1019



Detailed Information

DR. Janet C. Todaro is a specialist in Marblehead, MA with 37 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. The assigned NPI number for this provider is 1952478901 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year: 1978

The provider's business address is:

1 WIDGER RD
MEDICAL OFFICE BUILDING , SUITE 305
MARBLEHEAD, MA
ZIP 01945-146
Phone: (781) 639-1019

The enumeration date for this NPI number is 11/28/2006 and was last updated on 5/14/2012.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 174400000X Specialist 3311 MA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 WO4004 MEDICARE PIN MA

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1952478901
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name TODARO The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name JANET The first name of the provider, if the provider is an individual.
5 Provider Middle Name C. The middle name of the provider, if the provider is an individual.
6 Provider Name Prefix Text DR. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
7 Provider Other Last Name STUBBS Other last name by which the provider being identified is or has been known.
8 Provider Other First Name JANET Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
9 Provider Other Middle Name C Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
10 Provider Other Name Prefix Text DR. The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
11 Provider Other Last Name Type Code 1 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
12 Provider First Line Business Practice Location Address 1 WIDGER RD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
13 Provider Second Line Business Practice Location Address MEDICAL OFFICE BUILDING , SUITE 305 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
14 Provider Business Practice Location Address City Name MARBLEHEAD The city name in the location address of the provider being identified.
15 Provider Business Practice Location Address State Name MA The State code in the location of the provider being identified.
16 Provider Business Practice Location Address Postal Code 019452146 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
17 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
18 Provider Business Practice Location Address Telephone Number 7816391019 The telephone number associated with the location address of the provider being identified.
19 Provider Enumeration Date 11/28/2006 The date the provider was assigned a unique identifier (assigned an NPI).
20 Last Update Date 5/14/2012 The date that a record was last updated or changed.
21 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
22 Healthcare Provider Taxonomy Code 1 174400000X The code designating the provider’s gender if the provider is a person.
23 Provider License Number 1 3311 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
24 Provider License Number State Code 1 MA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
25 Healthcare Provider Primary Taxonomy Switch 1 Y
26 Other Provider Identifier 1 WO4004 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
27 Other Provider Identifier Type Code 1 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier State 1 MA
29 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.