NPIMap

Organization Active NPI

Beth Israel Deaconess Medical Center

  • Children's Chronic Disease Hospital
  • Boston, MA
National Provider Identifier
1003060955
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Chronic Disease HospitalTaxonomy code 281PC2000X
Legal business name
BETH ISRAEL DEACONESS MEDICAL CENTER
Practice address
330 Brookline Ave
Boston, MA 02215-5400
Phone
(617) 677-4042
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Deveau
Title
Controller & Director, Fiscal Servi
Phone
(617) 667-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Chronic Disease Hospital 281PC2000X MA Primary

Addresses

Primary practice location

330 Brookline Ave
Boston, MA 02215-5400

Mailing address

330 Brookline Ave
Boston, MA 02215-5400

National Provider Directory

National Provider Directory
Tax ID family
Beth Israel Deaconess Medical Center Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003060955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-677-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL DEACONESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEVEAU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CONTROLLER & DIRECTOR, FISCAL SERVI",
        "authorized_official_telephone_number": "617-667-0003"
    },
    "taxonomies": [
        {
            "code": "281PC2000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital, Children",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.