Fellsway Pediatrics, PC
Fellsway Pediatrics, PC is a healthcare organization registered as Pediatrics Physician in Melrose, MA, holding Type 2 (organization) NPI 1336488774 since 2013. The authorized official on file is Matthew Brewer, President/Co-Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336488774 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fellsway Pediatrics, PC |
| Other name | <Unavail> |
| Practice address | 548 LEBANON ST, Melrose, MA, 02176 |
| Phone | 7816654364 |
| Fax | 7816622284 |
| Enumeration date | 2013-02-05 |
| Last updated in NPPES | 2013-02-12 |
Authorized official
| Name | Matthew Brewer |
|---|---|
| Title | President/Co-Owner |
| Phone | 7816654364 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | 79158 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9787119 | Medicaid | MA | — |
Copy-ready billing details
Provider: Fellsway Pediatrics, PC NPI: 1336488774 Taxonomy: 208000000X (Pediatrics Physician) Address: 548 LEBANON ST, Melrose, MA, 02176
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003824202 | Matthew Brewer | Individual | Pediatrics Physician | Melrose, MA |
| 1104034065 | Brewer Nystuen Pediatrics | Organization | Pediatrics Physician | Melrose, MA |
Verify this record
Cross-check NPI 1336488774 against the authoritative CMS record: view Fellsway Pediatrics, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Fellsway Pediatrics, PC?
Who is the authorized official for Fellsway Pediatrics, PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-02-12.