NPIMap

Organization Active NPI

St. Elizabeth Medical Center

  • Critical Access Hospital
  • Waltham, MA
National Provider Identifier
1003161589
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
253000 Issued in CT
Legal business name
ST. ELIZABETH MEDICAL CENTER
Practice address
172 Summer St Apt 8
Waltham, MA 02452-5647
Phone
(617) 595-3797
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Vincenza Gelardi
Title
Sugical Education Coordinator
Phone
(617) 789-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 253000 CT Primary

Addresses

Primary practice location

172 Summer St Apt 8
Waltham, MA 02452-5647

Mailing address

172 Summer St Apt 8
Waltham, MA 02452-5647
Phone (617) 595-3797

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1003161589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SUMMER ST APT 8",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525647",
            "telephone_number": "617-595-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 SUMMER ST APT 8",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525647",
            "telephone_number": "617-595-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ELIZABETH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "GELARDI",
        "authorized_official_first_name": "VINCENZA",
        "authorized_official_title_or_position": "SUGICAL EDUCATION  COORDINATOR",
        "authorized_official_telephone_number": "617-789-2990"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CT",
            "license": "253000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.