NPIMap

Organization Active NPI

Northeast Healthcare System

  • Children's Hospital
  • Gloucester, MA
National Provider Identifier
1063680296
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
262899 Issued in MA
Legal business name
NORTHEAST HEALTHCARE SYSTEM
Practice address
32 Leslie O Johnson Rd
Gloucester, MA 01930-2500
Phone
(978) 281-3901
NPI assigned
Feb 11, 2008
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Brian Gerald Orr, M.D.NPI 1730146697
Title
Pediatrician
Phone
(978) 283-5079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 262899 MA Primary

Addresses

Primary practice location

32 Leslie O Johnson Rd
Gloucester, MA 01930-2500

Mailing address

10 Donald Rd
South Hamilton, MA 01982-1506
Phone (978) 468-4646

National Provider Directory

National Provider Directory
Tax ID family
Beverly Hospital11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

32 Leslie O Johnson Rd
Gloucester, MA 01930
Phone (617) 851-6665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1063680296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DONALD RD",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019821506",
            "telephone_number": "978-468-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LESLIE O JOHNSON RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302500",
            "telephone_number": "978-281-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "978-283-5079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "MA",
            "license": "262899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.