Active NPI
Charles River Endoscopy LLC
- Endoscopy Clinic/Center
- Framingham, MA
National Provider Identifier
1093922189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- CHARLES RIVER ENDOSCOPY LLC
- Practice address
- 297 Union Ave
Framingham, MA 01702-6337 - Phone
- (508) 665-4110
- Fax
- (508) 665-4111
- NPI assigned
- May 17, 2007
- Last updated
- Oct 5, 2007
- Organization subpart
- Yes
- Parent organization
- PARTNERS COMMUNITY HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vinay Kumar, MD
- Title
- Medical Director
- Phone
- (508) 881-3029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | Primary |
Addresses
Primary practice location
297 Union Ave
Framingham, MA 01702-6337
Mailing address
171 Main St
Suite 203
Ashland, MA 01721-1187
Phone (508) 881-3029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070827000719 | MA | Part B Supplier - Ambulatory Surgical Center | 4688766215 | Practice locations: Framingham, MA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Charles River Endoscopy LLC
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Part of
- B W Primary Care Asso
Locations
171 Main St
Ste 203
Ashland, MA 01721
Phone (508) 848-2171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1093922189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MAIN ST",
"address_2": "SUITE 203",
"city": "ASHLAND",
"state": "MA",
"postal_code": "017211187",
"telephone_number": "508-881-3029",
"fax_number": "508-881-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 UNION AVE",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026337",
"telephone_number": "508-665-4110",
"fax_number": "508-665-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES RIVER ENDOSCOPY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARTNERS COMMUNITY HEALTHCARE INC",
"enumeration_date": "2007-05-17",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "VINAY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "508-881-3029",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.