WEST CAMBRIDGE PEDIATRIC & ADOLESCENT MEDICIN, PC (NPI# 1487794814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487794814 |
| Entity Type | Organization |
| Organization Name | WEST CAMBRIDGE PEDIATRIC & ADOLESCENT MEDICIN, PC |
| Practice Address |
575 Mount Auburn St Cambridge MA 02138-4656 |
| Practice Telephone | 6175471421 |
| Practice Fax Number | 6174921118 |
| Mailing Telephone | 6175471421 |
| Mailing Fax Number | 6174921118 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-04-03 |
| Authorized Official Name | MS. WASIMA PARVEEN (PRACTICE MANAGER) |
| Authorized Official Telephone | 6175471421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 49447 | MA | Managed Care Organizations |
| Street Address |
575 MOUNT AUBURN ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890835 | Michael William Yogman | Pediatrics | 575 Mount Auburn St, Ste 202, Cambridge, MA 02138-4627 | 2005-06-08 |
| 1770139255 | Aimee Johnson Moreno | Counselor | 575 Mount Auburn St, Cambridge, MA 02138-4656 | 2019-08-12 |
| 1295110492 | Cara Ilene Kimberg | Psychologist | 575 Mount Auburn St, #101, Cambridge, MA 02138-4656 | 2015-07-29 |
| 1760814545 | Susan Betjemann | Social Worker | 575 Mount Auburn St, Suite 202, Cambridge, MA 02138-4656 | 2013-08-05 |
| 1063854693 | Aislyn Cangialose | Nurse Practitioner | 575 Mount Auburn St, Suite 101, Cambridge, MA 02138-4656 | 2013-07-24 |
| 1578823902 | Cambridge Children's Dentistry PC | Dentist | 575 Mount Auburn St, Suite 201, Cambridge, MA 02138-4656 | 2012-05-18 |
| 1710136098 | Robyn L. Glover | Psychologist | 575 Mount Auburn St, Suite 101, Cambridge, MA 02138-4656 | 2008-09-11 |
| 1417136789 | Marni Roitfarb | Pediatrics | 575 Mount Auburn St, Suite 202, Cambridge, MA 02138-4656 | 2007-11-02 |
| 1821295452 | Pedram Javedan | Dentist | 575 Mount Auburn St, Suite 201, Cambridge, MA 02138-4656 | 2007-06-28 |
| 1477676674 | Cindy Fischer Luthern | Nurse Practitioner | 575 Mount Auburn St, Suite 101 Epstein, Ballenger, Goldstein, Cambridge, MA 02138-4656 | 2007-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
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| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932440948 | Senior Whole Health, LLC | Health Maintenance Organization | 58 Charles St, Suite 2, Cambridge, MA 02141-2128 | 2013-03-15 |
| 1508108580 | Swh Holdings, Inc | Health Maintenance Organization | 58 Charles St, Cambridge, MA 02141-2128 | 2013-03-18 |
| 1528242955 | Dr. William E. Bair LLC | Health Maintenance Organization | 100 Bramble St, Cambridge, MD 21613-2471 | 2007-12-20 |
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|---|---|---|---|---|
| 1003413725 | Massachusetts Interlocal Insurance Association | Health Maintenance Organization | 1 Winthrop Sq, Boston, MA 02110-1209 | 2020-10-06 |
| 1144768698 | Lahey | Health Maintenance Organization | 1773 Salem St, North Andover, MA 01845-3318 | 2017-02-04 |
| 1508304163 | Bonnie Pan | Health Maintenance Organization | 228 Lyman St, Holyoke, MA 01040-4145 | 2017-02-03 |
| 1720449093 | Breath of Life Chiropractic and Wellness | Health Maintenance Organization | 146 Briarcliff Rd, Brockton, MA 02301-3011 | 2016-03-15 |
| 1639537285 | Habit Opco Wareham | Health Maintenance Organization | 3088 Acranberry Hwy., E. Wareham, MA 02538-1499 | 2016-02-10 |
| 1659751931 | Adult Developmental Center, Inc | Health Maintenance Organization | 25 Marlboro St, Belmont, MA 02478-3657 | 2015-06-02 |
| 1780025189 | South Bay Mental Health Center | Health Maintenance Organization | 15 S Point Dr, Apartment 605, Boston, MA 02125-3564 | 2013-07-13 |
| 1891038089 | Healthier You Wellness Nutrition Partners of Greater Boston, LLC | Health Maintenance Organization | 797 N Main St, 6, Brockton, MA 02301-2446 | 2013-04-05 |
| 1255683991 | Accurate Health Care LLC | Health Maintenance Organization | 34 Main St Extension Office #201, Plymouth, MA 02360 | 2012-10-04 |
| 1902153380 | Boston Pain Relief Massage Therapy | Health Maintenance Organization | 76 Summer St Ste 220, Boston, MA 02110-1273 | 2012-08-06 |
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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.