SHANI KUMARASENA MD PC NPI 1326256728

NPI Information

  • NPI: 1326256728
  • Provider Name: SHANI KUMARASENA MD PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: NEWTON WELLESLEY CHILDREN'S DOCTOR
  • CLIA Number: 22D0981129
  • Address: 332 WASHINGTON ST
    SUITE 260
    WELLESLEY, MA
    ZIP 02481
  • Phone: (781) 235-5437

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NPI Details

SHANI KUMARASENA MD PC is a pediatrics in Wellesley, 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. SHANI KUMARASENA MD PC NPI is 1326256728. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Newton Wellesley Children's Doctor.

The provider's business location address is:

332 WASHINGTON ST
SUITE 260
WELLESLEY, MA
ZIP 02481-219
Phone: (781) 235-5437
Fax: (781) 235-3945

The provider's authorized official is Darshini Kumarasena .
The authorized official title is Pediatrician and has the following contact phone number (781) 235-5437.

The CLIA number assigned to this NPI record is 22D0981129 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 7/15/2008.

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
1208000000XPediatrics150094MASSACHUSETTSYes

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
1F70530MEDICARE UPINMASSACHUSETTS
29703667MEDICAIDMASSACHUSETTS
3A21773MEDICARE PINMASSACHUSETTS

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: 3/30/2025

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