NPIMap

Organization Active NPI

Brigham and Women'S Hospital

  • Health Service Clinic/Center
  • Boston, MA
National Provider Identifier
1164590634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2417 Issued in MA
Legal business name
BRIGHAM AND WOMEN'S HOSPITAL
Practice address
75 Francis St
Tower 2, Nutrition Services
Boston, MA 02115-6110
Phone
(617) 732-5577
Fax
(617) 278-6929
NPI assigned
Dec 1, 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
Mrs. Cara Susanne Dejong, R.D.
Title
Registered Dietitian
Phone
(617) 732-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2417 MA Primary

Addresses

Primary practice location

75 Francis St
Tower 2, Nutrition Services
Boston, MA 02115-6110

Mailing address

75 Francis St
Tower 2, Nutrition Services
Boston, MA 02115-6110
Phone (617) 732-5577

National Provider Directory

National Provider Directory

Locations

75 Francis St
#2
Boston, MA 02115
Phone (617) 459-2389

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164590634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "TOWER 2, NUTRITION SERVICES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5577",
            "fax_number": "617-278-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "TOWER 2, NUTRITION SERVICES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5577",
            "fax_number": "617-278-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM AND WOMEN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEJONG",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "SUSANNE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "617-732-5577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, 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.