NPIMap

Organization Active NPI

Intrinsic Therapeutics

  • Durable Medical Equipment & Medical Supplies
  • Woburn, MA
National Provider Identifier
1144843822
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INTRINSIC THERAPEUTICS
Practice address
30 Commerce Way
Woburn, MA 01801-8503
Phone
(781) 932-0222
Fax
(781) 932-0252
NPI assigned
May 28, 2020
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Stacey Williams
Title
Director, Employer Funded Programs
Phone
(757) 560-8626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

30 Commerce Way
Woburn, MA 01801-8503

Mailing address

30 Commerce Way
Woburn, MA 01801-8503
Phone (781) 932-0222

National Provider Directory

National Provider Directory

Locations

30 Commerce Way
Woburn, MA 01801
Phone (781) 932-0222

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1144843822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COMMERCE WAY",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018018503",
            "telephone_number": "781-932-0222",
            "fax_number": "781-932-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COMMERCE WAY",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018018503",
            "telephone_number": "781-932-0222",
            "fax_number": "781-932-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRINSIC THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR, EMPLOYER FUNDED PROGRAMS",
        "authorized_official_telephone_number": "757-560-8626"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.