ELIZABETH M LIDSTONE JAYANATH MD NPI 1124000294

NPI Information

  • NPI: 1124000294
  • Provider Name: ELIZABETH M LIDSTONE JAYANATH, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 175 CONNORS STREET
    GARDER, MA
    ZIP 01440
  • Phone: (978) 410-6100

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NPI Details

Elizabeth M Lidstone Jayanath, MD is a pediatrics in Garder, MA. The provider is 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. Elizabeth M Lidstone Jayanath, MD NPI is 1124000294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 CONNORS STREET
GARDER, MA
ZIP 01440
Phone: (978) 410-6100
Fax: (978) 410-6109

The NPI 1124000294 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 11/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1208000000XPediatrics156974MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11836498OTHERFIRST HEALTH
233367OTHERHEALTHY START
37521481OTHERCIGNA HEALTH PLAN
43188787MEDICAIDMASSACHUSETTS
542389OTHERFALLON COMMUNITY HLTH PL
6A29170OTHERMEDICARE B
7A29170MEDICARE ID-TYPE UNSPECIFIED
8042472266OTHERPRIVATE HEALTHCARE SYSTEM
93188787OTHERMEDICAID/WELFARE
10784154OTHERMVP HEALTH CARE
113188787OTHERMEDICAID PCC
127575320OTHERAETNA/US HEALTHCARE
13042472266OTHERHEALTHCARE VALUE MNGMENT
14042472266OTHERONE HEALTH PLAN
15J19766OTHERBLUE SHIELD HMO BLUE
16J19766OTHERBLUE CARE ELECT
17J19766OTHERBLUE SHIELD INDEMNITY
1833367OTHERCHILDRENS MED SECURITY PL
19AA1277OTHERHARVARD PILGRIM HEALTHCAR
20G86884MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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