Organization Active NPI

Community Medical Alliance, Inc

  • Registered Nurse
  • Boston, MA
National Provider Identifier
1033651104
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2281236 Issued in MA
Legal business name
COMMUNITY MEDICAL ALLIANCE, INC
Practice address
253 Summer St
5TH Floor
Boston, MA 02210-1114
Phone
(888) 897-8947
Fax
(617) 526-1909
NPI assigned
Nov 7, 2016
Organization subpart
Yes
Parent organization
NEIGHBORHOOD HEALTH PLANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Mrs. Karen L Shirosky
Title
Operations Manager
Phone
(617) 772-5690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN2281236 MA Primary

Addresses

Primary practice location

253 Summer St
5TH Floor
Boston, MA 02210-1114

Mailing address

253 Summer St
5TH Floor
Boston, MA 02210-1114
Phone (888) 897-8947

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Alliance Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1033651104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 SUMMER ST",
            "address_2": "5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101114",
            "telephone_number": "888-897-8947",
            "fax_number": "617-526-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 SUMMER ST",
            "address_2": "5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101114",
            "telephone_number": "888-897-8947",
            "fax_number": "617-526-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL ALLIANCE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIGHBORHOOD HEALTH PLAN",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "SHIROSKY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "617-772-5690",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2281236",
            "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 Nov 7, 2016; 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.