Beaver Brook Pediatric & Adolescent Medicine, P.C.
NPI 1235180100 · Pediatric Adolescent Medicine Physician · Waltham, MA
Beaver Brook Pediatric & Adolescent Medicine, P.C. is a Pediatric Adolescent Medicine Physician organization in Waltham, MA (NPI 1235180100).
Provider details
- NPI number
- 1235180100
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janet Antonioni, Owner/Provider(781) 891-3706
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2020-01-21
- Certified
- 2020-01-21
Frequently asked questions
- What is Beaver Brook Pediatric & Adolescent Medicine, P.C.'s NPI number?
- Beaver Brook Pediatric & Adolescent Medicine, P.C.'s National Provider Identifier (NPI) is 1235180100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaver Brook Pediatric & Adolescent Medicine, P.C.?
- Beaver Brook Pediatric & Adolescent Medicine, P.C. is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Beaver Brook Pediatric & Adolescent Medicine, P.C. located?
- Beaver Brook Pediatric & Adolescent Medicine, P.C.'s practice location on file with NPPES is 465 Waverley Oaks Rd, Waltham, MA 02452-8438.
- What is Beaver Brook Pediatric & Adolescent Medicine, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Beaver Brook Pediatric & Adolescent Medicine, P.C. is (781) 891-3706.
- Who is the authorized official for Beaver Brook Pediatric & Adolescent Medicine, P.C.?
- The authorized official listed on Beaver Brook Pediatric & Adolescent Medicine, P.C.'s NPPES record is Janet Antonioni, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaver Brook Pediatric & Adolescent Medicine, P.C.'s NPI active?
- Yes — Beaver Brook Pediatric & Adolescent Medicine, P.C.'s NPI (1235180100) is active in the NPPES registry as of the last update on 2020-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.