TLC PEDIATRICS PC NPI 1962708271

NPI Information

  • NPI: 1962708271
  • Provider Name: TLC PEDIATRICS PC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Doing Business As: REVERE-WINTHROP PEDIATRICS
  • CLIA Number: 22D0077278
  • Address: 280 BEACH ST
    REVERE, MA
    ZIP 02151
  • Phone: (781) 289-5057

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NPI Details

TLC PEDIATRICS PC is an adolescent medicine pediatrics in Revere, MA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. TLC PEDIATRICS PC NPI is 1962708271. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Revere-winthrop Pediatrics.

The provider's business location address is:

280 BEACH ST
REVERE, MA
ZIP 02151-143
Phone: (781) 289-5057
Fax: (781) 289-4485

The provider's authorized official is Janet Tieng Chua .
The authorized official title is President and has the following contact phone number (781) 289-5057.

The CLIA number assigned to this NPI record is 22D0077278 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/3/2011 and was last updated on 7/9/2020.

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
12080A0000XPediatricsAdolescent MedicineYes

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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