Organization Active NPI

South East Center for Swallowing and Communication Disorders, PC

  • General Practice Physician
  • New Bedford, MA
National Provider Identifier
1114176385
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC
Practice address
92 Grape St
Unit 1
New Bedford, MA 02740-2143
Phone
(508) 991-2332
Fax
(508) 991-8437
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Mrs. Kathleen L Fitzgerald, MS-CCC-SLP
Title
President
Phone
(508) 991-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

92 Grape St
Unit 1
New Bedford, MA 02740-2143

Mailing address

92 Grape St
Unit 1
New Bedford, MA 02740-2143
Phone (508) 991-2332

Other identifiers 1

IdentifierTypeStateIssuer
9737570MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
South East Center for Swallowing and Communication Disorders PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1114176385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 GRAPE ST",
            "address_2": "UNIT 1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402143",
            "telephone_number": "508-991-2332",
            "fax_number": "508-991-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 GRAPE ST",
            "address_2": "UNIT 1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402143",
            "telephone_number": "508-991-2332",
            "fax_number": "508-991-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-991-2332",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS-CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9737570",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.