OrganizationActive
Fellsway Pediatrics, PC
NPI 1336488774 · Pediatrics Physician · Melrose, MA
Fellsway Pediatrics, PC is a Pediatrics Physician organization in Melrose, MA (NPI 1336488774).
Provider details
- NPI number
- 1336488774
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Brewer, President/Co-Owner(781) 665-4364
- License
- 79158 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
548 Lebanon St
Melrose, MA 02176-3226
Phone: (781) 665-4364
Fax: (781) 662-2284
Street-level locationGet directions
Mailing address
548 Lebanon St
Melrose, MA 02176-3226
Other names (DBA / former)
- Former legal business name
- Brewer Nystuen Pediatric Associates
Registry dates
- Enumerated
- 2013-02-05
- Last updated
- 2013-02-12
Frequently asked questions
- What is Fellsway Pediatrics, PC's NPI number?
- Fellsway Pediatrics, PC's National Provider Identifier (NPI) is 1336488774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fellsway Pediatrics, PC?
- Fellsway Pediatrics, PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Fellsway Pediatrics, PC located?
- Fellsway Pediatrics, PC's practice location on file with NPPES is 548 Lebanon St, Melrose, MA 02176-3226.
- What is Fellsway Pediatrics, PC's phone number?
- The practice phone number listed in the NPPES registry for Fellsway Pediatrics, PC is (781) 665-4364.
- Who is the authorized official for Fellsway Pediatrics, PC?
- The authorized official listed on Fellsway Pediatrics, PC's NPPES record is Matthew Brewer, President/Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fellsway Pediatrics, PC's NPI active?
- Yes — Fellsway Pediatrics, PC's NPI (1336488774) is active in the NPPES registry as of the last update on 2013-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.