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Marblehead Pediatrics

Marblehead Pediatrics is a healthcare organization registered as Pediatrics Physician in Marblehead, MA, holding Type 2 (organization) NPI 1386794584 since 2007. The authorized official on file is Lisa Gast, President.

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NPI 1386794584
Entity type Organization (Type 2)
Legal business name Marblehead Pediatrics
Practice address 70 ATLANTIC AVE, Marblehead, MA, 01945
Phone 7816317800
Fax 7816314319
Enumeration date 2007-01-11
Last updated in NPPES 2022-08-31

Authorized official

Name Lisa Gast
Title President
Phone 7816317800

Taxonomy & classification

Taxonomy code Specialty Primary License State
208000000X Pediatrics Physician Primary

Other identifiers

Identifier Type State Issuer
9718338 Medicaid MA
110068239 Medicaid MA
Copy-ready billing details
Provider: Marblehead Pediatrics
NPI: 1386794584
Taxonomy: 208000000X (Pediatrics Physician)
Address: 70 ATLANTIC AVE, Marblehead, MA, 01945

Providers at this address

NPI Name Type Specialty Location
1093791378 Lisa Gast Individual Pediatrics Physician Marblehead, MA
1144290537 Philomena Asante Individual Pediatrics Physician Marblehead, MA
1235194713 Richard Miller Individual Pediatrics Physician Marblehead, MA
1821017195 Cheryl Kerns Individual Pediatrics Physician Marblehead, MA
1467520361 Tracey Green Individual Acupuncturist Marblehead, MA
1154460145 Sarah O'Connor Individual Pediatrics Physician Marblehead, MA
1457483307 Geraldine Yuhas Individual Pediatric Nurse Practitioner Marblehead, MA
1629100599 Rebecca Ehrenberg Individual Pediatric Nurse Practitioner Marblehead, MA

Verify this record

Cross-check NPI 1386794584 against the authoritative CMS record: view Marblehead Pediatrics 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

Where is Marblehead Pediatrics located?
The practice location on file with NPPES is in Marblehead, MA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-08-31. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-08-31.