MASSACHUSETTS INSTITUTE OF TECHNOLOGY


Address: 25 Carleton St, Cambridge, MA 02142-1323
Phone: 6172530556

MASSACHUSETTS INSTITUTE OF TECHNOLOGY (NPI# 1457607756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457607756
Entity Type Organization
Organization Name MASSACHUSETTS INSTITUTE OF TECHNOLOGY
Other Organization Name MIT MEDICAL
Practice Address 25 Carleton St
Cambridge
MA 02142-1323
Mailing Address Po Box 425789
Cambridge
MA 02142-0015
Practice Telephone 6172530556
Practice Fax Number 6172536558
Mailing Telephone 6172530556
Mailing Fax Number 6172536558
Enumeration Date 2012-07-24
Last Update Date 2013-06-17
Authorized Official Name MARY MURRAY (MANAGER OF FINACIAL SERVICES)
Authorized Official Telephone 6172531322
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
2863 MA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA BCBS PHYSICAL THERAPY Y61353 01

Other Provider/Organization Names

Other Name Type Code
MIT Medical Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346308723 Massachusetts Institute of Technology Clinic/Center 25 Carleton St., E23-395, Cambridge, MA 02142-1323 2006-12-05
1518578061 Massachusetts Institute of Technology Ambulance 77 Massachusetts Ave, Cambridge, MA 02139-4301 2020-08-10
1588133946 Massachusetts Institute of Technology Dentist 25 Carleton St, Cambridge, MA 02142-1323 2018-11-15

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 Massachusetts Ave Bldg Ne # 49-4097, Cambridge, MA 02139-4301

Office Location

Street Address 25 CARLETON ST
City CAMBRIDGE
State MA
Zip Code 02142-1323

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770577926 Brian David Marriott Family Medicine 25 Carleton St, E-23, Cambridge, MA 02142-1323 2005-09-02
1124672118 Edward Nicholas Waller Nurse Practitioner 25 Carleton St, Cambridge, MA 02142-1323 2019-07-29
1326607680 Jennifer Obrien Psychologist 25 Carleton St, Cambridge, MA 02142-1323 2019-06-11
1588133946 Massachusetts Institute of Technology Dentist 25 Carleton St, Cambridge, MA 02142-1323 2018-11-15
1699104828 Maureen Johnston Nurse Practitioner 25 Carleton St, E23, Cambridge, MA 02142-1323 2013-11-07
1427309905 Maureen Dwyer Dobrowsky Nurse Practitioner 25 Carleton St, E23, Cambridge, MA 02142-1323 2012-09-25
1730478728 Andrew P Fuller Psychiatry & Neurology 25 Carleton St, E23-3 South, Cambridge, MA 02142-1323 2011-03-30
1689651267 Austin Patrick Egan Family Medicine 25 Carleton St, Mit Medical, Cambridge, MA 02142-1323 2005-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851890776 Pramod Soparkar Dentist The Forsyth Institute, 245 First St, Cambridge, MA 02142 2018-02-06
1720445331 Ahmed Keles Dentist 245 First St Cambridge, 17th Floor, Cambridge, MA 02142 2016-01-27
1366842593 Alexandra Penney Dietitian, Registered 215 First St, Cambridge, MA 02142 2014-08-25
1871737213 Carmen R Bozic Internal Medicine Biogen Idec Inc., 14 Cambridge Center, Cambridge, MA 02142 2009-04-29
1326282765 Tenley E Albright Surgery The Collaborative, Four Cambridge Center, Cambridge, MA 02142 2009-04-29
1467671248 Frannie Renee Kronenberg Internal Medicine 15 Parkman Street, Ima/mgh, Suite 616 Wacc, Boston, MA 02142 2007-04-24
1992820799 Mary Ann Asbell General Practice Genzyme, 500 Kendall Street, Cambridge, MA 02142 2007-03-20
1083743967 Brian L Hamilton Pediatrics Merimack Pharmaceuticals, 101 Binney Street, Cambridge, MA 02142 2007-03-05
1659437481 Dermot A O'rourke Psychiatry & Neurology Mit Clinical Research Center E17-445, 40 Ames Street, Cambridge, MA 02142 2006-12-28
1235238015 Sumita Gokhale Pathology 9 Cambridge Ctr, Room 449, Whitehead Institute-biomedical Research, Cambridge, MA 02142 2006-09-21
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891188546 Carewell Urgent Care Centers of Ma, PC Clinic/Center 603 Concord Ave, Unit 101, Cambridge, MA 02138-1197 2015-03-05
1740606425 Carewell Urgent Care Centers of Ma, P.c Clinic/Center 1400 Cambridge St, Cambridge, MA 02139-1105 2014-03-05
1609387695 Partners Urgent Care, LLC Clinic/Center 1815 Massachusetts Ave, Cambridge, MA 02140-1430 2017-10-17
1881141398 Partners Urgent Care Clinic/Center 76 Prospect St, Cambridge, MA 02139-2503 2016-09-01
1073947396 President and Fellows of Harvard College Clinic/Center 75 Mount Auburn St, Cambridge, MA 02138-4960 2013-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649879651 Convenientmd LLC Clinic/Center 983 Boston-providence Turnpike, Dedham, MA 02026 2020-10-21
1811596216 Convenientmd LLC Clinic/Center 181 Cambridge St, Burlington, MA 01803-2922 2020-10-19
1326669151 Partners Urgent Care LLC Clinic/Center 480 Lynnfield St Ste 1a, Lynn, MA 01904-1419 2020-05-04
1164060778 Bid-milton Physician Associates Inc Clinic/Center 100 Walter J. Hannon Pkwy, Quincy, MA 02169 2019-12-13
1992342075 Lynn Urgent Care LLC Clinic/Center 776 Western Ave, Lynn, MA 01905-2408 2019-12-08
1457902892 Convenientmd LLC Clinic/Center 296 Old Oak Street, Pembroke, MA 02359 2019-09-26
1487203246 South Shore Health Express, Inc Clinic/Center 310 Grove St, Braintree, MA 02184-7224 2019-09-05
1124676598 Convenientmd LLC Clinic/Center 236 Cochituate Rd, Framingham, MA 01701-4627 2019-08-29
1144782467 Partners Urgent Care, LLC Clinic/Center 90 Brigham Way, Westwood, MA 02090 2019-04-04
1942761564 Convenientmd LLC Clinic/Center 245 Hartford Ave, Bellingham, MA 02019-3007 2019-03-27
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Competitor

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City CAMBRIDGE
Zip Code 02142

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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