Healthcare Provider Details

I. General information

NPI: 1104714534
Provider Name (Legal Business Name): JOY OF PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 CHIEF JUSTICE CUSHING HWY STE 201
COHASSET MA
02025-1391
US

IV. Provider business mailing address

223 CHIEF JUSTICE CUSHING HWY STE 201
COHASSET MA
02025-1391
US

V. Phone/Fax

Practice location:
  • Phone: 781-383-8380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NICOLA SMITH
Title or Position: AUTHORIZED REPRESENTATIVE
Credential: MD
Phone: 781-383-8380