NPIMap

Organization Active NPI

Harvard University

  • Occupational Medicine Clinic/Center
  • Boston, MA
National Provider Identifier
1043767577
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
265320 Issued in MA
Legal business name
HARVARD UNIVERSITY
Practice address
677 Huntington Ave
Boston, MA 02115-6028
Phone
(603) 361-2141
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Ann Backus
Title
Program Co-Ordinator
Phone
(603) 361-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 265320 MA Primary

Addresses

Primary practice location

677 Huntington Ave
Boston, MA 02115-6028

Mailing address

1575 Tremont St
The Longwood Apt. 701
Boston, MA 02120-1677
Phone (857) 352-7845

National Provider Directory

National Provider Directory
Tax ID family
President Fellows of Harva17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1043767577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 TREMONT ST",
            "address_2": "THE LONGWOOD APT. 701",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021201677",
            "telephone_number": "857-352-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156028",
            "telephone_number": "603-361-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "BACKUS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM CO-ORDINATOR",
        "authorized_official_telephone_number": "603-361-2141"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MA",
            "license": "265320",
            "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 Sep 1, 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.