ROMNEY KENNETH LADERBERG MD NPI 1326002668

NPI Information

NPI: 1326002668
Provider Name: ROMNEY KENNETH LADERBERG, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
596 BROADWAY
EVERETT, MA
ZIP 02149
Phone: (617) 387-5185
Get Directions

Romney Kenneth Laderberg, MD is a pulmonary disease internal medicine in Everett, MA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Romney Kenneth Laderberg, MD NPI is 1326002668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

596 BROADWAY
EVERETT, MA
ZIP 02149-743
Phone: (617) 387-5185
Fax: (617) 387-0827

The enumeration date for this NPI number is 4/13/2006 and was last updated on 7/8/2007.

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
1	207RP1001X	Internal Medicine	Pulmonary Disease	73767	MASSACHUSETTS	Yes

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
1	3117031	MEDICAID	MASSACHUSETTS
2	724634	OTHER	MASSACHUSETTS	TUFTS HEALTHCARE
3	J13623	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD OF
4	61618	OTHER	MASSACHUSETTS	HARVARD PILGRAM HEALTHCAR
5	J13623	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
6	F52039	MEDICARE UPIN	MASSACHUSETTS

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: 4/28/2024

NPI Synchronization or Removal

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