NPIMap

Organization Active NPI

Umass Memorial

  • General Acute Care Hospital
  • Worcester, MA
National Provider Identifier
1093170490
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
GC287 Issued in MA
Legal business name
UMASS MEMORIAL
Practice address
55 Lake Ave N
Genetics, A3-105
Worcester, MA 01655-0002
Phone
(774) 442-4223
Fax
(774) 442-3525
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Maria Del Vecchio, LGC
Title
Genetic Counselor
Phone
(774) 442-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X GC287 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Genetics, A3-105
Worcester, MA 01655-0002

Mailing address

55 Lake Ave N
Genetics, A3-105
Worcester, MA 01655-0002
Phone (774) 442-4223

National Provider Directory

National Provider Directory

Locations

55 Lake Ave N
#A3105
Worcester, MA 01655
Phone (774) 442-4223

55 Lake Ave N
#A3
Worcester, MA 01655

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1093170490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "GENETICS, A3-105",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "774-442-4223",
            "fax_number": "774-442-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "GENETICS, A3-105",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "774-442-4223",
            "fax_number": "774-442-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "DEL VECCHIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "GENETIC COUNSELOR",
        "authorized_official_telephone_number": "774-442-4223",
        "authorized_official_credential": "LGC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "GC287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.