Active NPI
South East Center for Swallowing and Communication Disorders, PC
- General Practice Physician
- New Bedford, MA
National Provider Identifier
1114176385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9737570 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- South East Center for Swallowing and Communication Disorders PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapist
- New Bedford, MA
- NPI 1639366867
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
- Sharon Sousa, NP
- Thais Goese Sousa, CNP
- South Coast Angels LLC
- South East Center for OT Inc
- South East Center for Swallowing & Communication
- South East Center for Swallowing and Communication Disorders, PC
- Southcoast Cardiology LLC
- Southcoast Chiropractic, Inc.
- Southcoast Dental Specialistst
- Southcoast Endodotics, P.C.
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.