South Shore Young Men's Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

SOUTH SHORE YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

91 Longwater Cir
Norwell, MA 02061-1646

Phone

(617) 479-8500

Fax

(617) 328-0564

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Paul Gorman

Title

Ceo

Phone

(781) 264-9400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1023564861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LONGWATER DRIVE",
            "address_2": "SUITE 110",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "781-264-9400",
            "fax_number": "617-328-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 LONGWATER CIR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611646",
            "telephone_number": "617-479-8500",
            "fax_number": "617-328-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-264-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Shore Medical Center, Inc
• South Shore Medical Center, Inc
• South Shore Medical Center, Inc
• South Shore Medical Center, Inc.
• South Shore Skin Center
• Southwood at Norwell Nursing Center
• Vanessa Souza
• Nicholas P Sowles, DMD
• Spark the Change, LLC
• Speech Language Pathology Center

• Health Educator in Norwell, MA
• Providers in Norwell, MA by specialty
• Health Educator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.