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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
2863 | MA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BCBS PHYSICAL THERAPY | Y61353 | 01 |
Other Name | Type Code |
---|---|
MIT Medical | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | MASSACHUSETTS INSTITUTE OF TECHNOLOGY | 77 Massachusetts Ave Bldg Ne # 49-4097, Cambridge, MA 02139-4301 |
Street Address |
25 CARLETON ST |
City | CAMBRIDGE |
State | MA |
Zip Code | 02142-1323 |
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 |
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 |
Find all providers in zip 02142 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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 |
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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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.