Active NPI
Mommy & Baby Wellness Path
- Community Health Clinic/Center
- South Dennis, MA
National Provider Identifier
1013395284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- RN2276431
- Legal business name
- MOMMY & BABY WELLNESS PATH
- Practice address
- 11 Clark Cir
South Dennis, MA 02660-2508 - Phone
- (201) 468-2245
- NPI assigned
- May 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Louise Doyle, RN
- Title
- Registered Nurse
- Phone
- (201) 468-2245
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | RN2276431 | MA | Primary |
| Medical Specialty Clinic/Center | 261QM2500X | RN2276431 | MA |
Addresses
Primary practice location
11 Clark Cir
South Dennis, MA 02660-2508
Mailing address
11 Clark Cir
South Dennis, MA 02660-2508
Phone (201) 468-2245
National Provider Directory
National Provider Directory- Tax ID family
- Mary Lou Doyle
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- South Dennis, MA
- NPI 1285022137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1013395284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CLARK CIR",
"city": "SOUTH DENNIS",
"state": "MA",
"postal_code": "026602508",
"telephone_number": "201-468-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CLARK CIR",
"city": "SOUTH DENNIS",
"state": "MA",
"postal_code": "026602508",
"telephone_number": "201-468-2245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMMY & BABY WELLNESS PATH",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "MARY LOUISE",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "201-468-2245",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "MA",
"license": "RN2276431",
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MA",
"license": "RN2276431",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Dennis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.