MS. DEEPANWITA PRUSTY (NPI# 1861473514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861473514 |
| Entity Type | Individual |
| Full Name | MS. DEEPANWITA PRUSTY |
| Credential | MD PHD |
| Practice Address |
541 Main St 2nd South Weymouth MA 02190-1868 |
| Mailing Address |
143 Longwater Dr Norwell MA 02061-1683 |
| Practice Telephone | 7818122880 |
| Practice Fax Number | 7818036142 |
| Mailing Telephone | 7818785200 |
| Mailing Fax Number | 7816819253 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2016-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 214928 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTH CARE | 042297845 | 01 | |
| MA | NEIGHBORHOOD HEALTH PLAN | 1861473514 | 01 |
| MA | BCBSMA | SS0074 | 01 |
| HCVM | 042297845 | 01 | |
| GREAT WEST | 042297845 | 01 | |
| MULTI-PLAN | 042297845 | 01 | |
| MA | 11078614A | 05 | |
| TUFTS AND TUFTS MEDICARE PREFERRED | 459067 | 01 | |
| AETNA | 9355125 | 01 | |
| TRICARE | 042297845 | 01 | |
| FALLON | 1861473514 | 01 | |
| HARVARD PILGRIM | AA193220 | 01 | |
| GIC UNICARE | 042297845 | 01 | |
| NHP | 1861473514 | 01 | |
| CIGNA | 7541384 | 01 |
| Street Address |
541 MAIN ST 2ND |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043224967 | Stacy Bierly | Specialist | 541 Main Street, Suite 103, South Weymouth, MA 02190 | 2006-07-28 |
| 1497744585 | Steven F Starr | Specialist | 780 Main St, Ste. 2c, South Weymouth, MA 02190-1622 | 2005-10-20 |
| 1982076535 | Prusty Endocrine Associates | Specialist | 571 Main St, Second Floor, South Weymouth, MA 02190-1843 | 2015-10-22 |
| 1962769190 | South Shore Urology, Inc. | Specialist | 780 Main St, Suite 2c, South Weymouth, MA 02190-1639 | 2012-04-12 |
| 1164620589 | South Shore Neurospine Group, LLC | Specialist | 780 Main St, South Weymouth, MA 02190-1622 | 2007-07-06 |
| 1801913496 | Frederick S. Ayers, Md PC | Specialist | 797 Main St, South Weymouth, MA 02190-1623 | 2007-03-26 |
| 1235240219 | Young Han Kim | Specialist | 780 Main St, South Weymouth, MA 02190-1622 | 2006-08-31 |
| 1124137484 | George J Cuchural Jr. | Specialist | 851 Main St, Suite 14, South Weymouth, MA 02190-1612 | 2006-08-30 |
| 1053343574 | Sergio D Fefer | Specialist | 780 Main St, South Weymouth, MA 02190-1622 | 2006-07-07 |
| 1699710236 | South Shore Surgical Specialists, Inc | Specialist | 780 Main St, Suite 2a, South Weymouth, MA 02190-1622 | 2006-06-18 |
| Find all providers in SOUTH WEYMOUTH | ||||
| City | SOUTH WEYMOUTH |
| Zip Code | 02190 |
Please comment or provide details below to improve the information on MS. DEEPANWITA PRUSTY.
| 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.