Organization Active NPI

City of Beverly

  • Public Health or Welfare Agency
  • Beverly, MA
National Provider Identifier
1154590081
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CITY OF BEVERLY
Practice address
90 Colon St
Beverly, MA 01915-3604
Phone
(978) 921-8591
Fax
(978) 922-5695
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Ms. Pat Zingariello, RN
Title
Public Health Nurse
Phone
(978) 921-8591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

90 Colon St
Beverly, MA 01915-3604

Mailing address

90 Colon St
Beverly, MA 01915-3604
Phone (978) 921-8591

Other names 1

  • Beverly Health Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081125000797 MA Part B Supplier - Mass Immunization (Roster Biller Only) 4183634462 Practice locations: Beverly, MA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1154590081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 COLON ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153604",
            "telephone_number": "978-921-8591",
            "fax_number": "978-922-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 COLON ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153604",
            "telephone_number": "978-921-8591",
            "fax_number": "978-922-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BEVERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "ZINGARIELLO",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "PUBLIC HEALTH NURSE",
        "authorized_official_telephone_number": "978-921-8591",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.