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Deactivated NPI 1215940689 Deactivated / Inactive NPI Male Practitioner

Dr. Peter E Masucci , MD

Pediatrics • Everett, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Masucci has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2006
NPI Deactivation Date October 02, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Masucci, MD was a registered Pediatrics practicing in Everett, MA. Throughout an active medical career spanning 19 years, Dr. Masucci provided care at the practice location at 391 BROADWAY until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

391 Broadway
Suite 301

Everett, MA 021493470

Telephone 6173892121
Fax 6173894194
Associated Practice Facility / Clinic
🏢 Peter E Masucci, Md, Pc Facility NPI 1164479002

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Everett, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Everett, MA (2760 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 40293

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Alexandra Lester , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1063026946

CPNPPC

Analisa Echeverria , CNP

Nurse Practitioner - Pediatrics

NPI 1285181925

Certified Nurse Practitioner

Jacqueline Hirshberg , CPNP

Nurse Practitioner - Pediatrics

NPI 1437559416

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 391 BROADWAY, SUITE 301, EVERETT, MA 021493470 (Tel: 6173892121)

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Updated Business Mailing Address July 08, 2007

Registered at 107 HIGH RIDGE RD, BOXFORD, MA 019212119 (Tel: 9788873856)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PETER MASUCCI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #40293 in MA)

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Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215940689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: July 08, 2007
Deactivation Date: October 02, 2025

Mailing Address

107 High Ridge Rd

Boxford, MA 019212119

Phone: 9788873856

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.