Organization Active NPI

Zdorovie Senior Services

  • Adult Day Care Clinic/Center
  • Newton, MA
National Provider Identifier
1154433878
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1906216 Issued in MA
Legal business name
ZDOROVIE SENIOR SERVICES
Practice address
149 California St # a
Newton, MA 02458-1023
Phone
(617) 795-0668
Fax
(617) 795-0668
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Max Baudinovich Mazaev, M.D., PH.D.
Title
President
Phone
(617) 795-0668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1906216 MA Primary

Addresses

Primary practice location

149 California St # a
Newton, MA 02458-1023

Mailing address

149 California St # a
Newton, MA 02458-1023
Phone (617) 795-0668

Other identifiers 1

IdentifierTypeStateIssuer
1906216MedicaidMA

Other names 1

  • ADH 'Zdorovie' Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adh 'Zdorovie'2 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.

Locations

149 California St
Ste A
Newton, MA 02458
Phone (617) 795-0668

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154433878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CALIFORNIA ST # A",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581023",
            "telephone_number": "617-795-0668",
            "fax_number": "617-795-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CALIFORNIA ST # A",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581023",
            "telephone_number": "617-795-0668",
            "fax_number": "617-795-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZDOROVIE SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZAEV",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "BAUDINOVICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-795-0668",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": "1906216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906216",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADH 'Zdorovie'",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.