Town of Middleton

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

TOWN OF MIDDLETON

Practice address

195 North Main Street
Middleton, MA 01949

Phone

(978) 777-1869

Fax

(978) 774-0718

NPI assigned

Feb 15, 2008

Last updated

Sep 4, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

TOWN OF MIDDLETONAs reported in NPPES

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

Authorized official

Name

Mr. Derek Fullerton, RS CHO

Title

Public Health Director

Phone

(978) 777-1869

Specialties & licenses 1

Addresses

Other names 1

• Board of Health Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Town of Middleton

  • Ambulance
  • Middleton, MA
  • NPI 1497739890

  3779593439

  Same PAC ID

Part of

Town of Middleton

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Town of Middleton

  • Ambulance
  • Middleton, MA
  • NPI 1497739890

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Town of Middleton

  • Ambulance
  • Middleton, MA
  • NPI 1497739890
  NPPES parent name

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1093983769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 NORTH MAIN STREET",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "01949",
            "telephone_number": "978-777-1869",
            "fax_number": "978-774-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 NORTH MAIN STREET",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "01949",
            "telephone_number": "978-777-1869",
            "fax_number": "978-774-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MIDDLETON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF MIDDLETON",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "978-777-1869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RS CHO"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Board of Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Renee Sulzinsky, NP
• Elena Talmaci
• Angellina Delight Tamburello, RBT
• Mackenzie Targett, PMHNP-BC
• The Commonwealth of Massachusetts (Essex County Sheriff's Dept.)
• Town of Middleton
• Elizabeth Anne Vasapolli, NP-C
• Stephen Vitale, DPT
• Walgreen Co (Walgreens #10940)
• Ann Walsh

• Public Health or Welfare Agency in Middleton, MA
• Providers in Middleton, MA by specialty
• Public Health or Welfare Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.