Organization Active NPI

Caritas Medical Group, Inc.

  • Specialist
  • Brighton, MA
National Provider Identifier
1174513204
Registry record updated Dec 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARITAS MEDICAL GROUP, INC.
Practice address
736 Cambridge St
Caritas Christi Physicians Network
Brighton, MA 02135-2907
Phone
(617) 562-5338
Fax
(617) 562-5415
NPI assigned
Oct 28, 2005
Last updated
Dec 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2008

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

Authorized official

Name
Dr. Timothy Crowley
Title
Sr. VP of Physician Services
Phone
(617) 562-5338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA Primary

Addresses

Primary practice location

736 Cambridge St
Caritas Christi Physicians Network
Brighton, MA 02135-2907

Mailing address

PO Box 3994
Boston, MA 02241-3994
Phone (617) 562-5338

Other identifiers 2

IdentifierTypeStateIssuer
9773746MedicaidMA
737829OtherMATUFTS

National Provider Directory

National Provider Directory

Locations

400 Washington St
Braintree, MA 02184
Phone (781) 817-6675

1440 Pleasant St
Bridgewater, MA 02324
Phone (508) 697-8116

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

11 Nevins St
#S202
Brighton, MA 02135
Phone (617) 779-6711

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

11 Nevins St
Ste 203
Brighton, MA 02135
Phone (617) 783-4440

280 Washington St
Brighton, MA 02135
Phone (617) 782-5316

280 Washington St
Ste 206
Brighton, MA 02135
Phone (617) 562-0133

850 Boylston St
Chestnut Hill, MA 02467
Phone (617) 732-5773

70 Walnut St
Fl 1
Foxboro, MA 02035
Phone (508) 543-6371

29 Crafts St
Newton, MA 02458
Phone (617) 964-7530

825 Washington St
Ste 105
Norwood, MA 02062
Phone (781) 762-1186

884 Washington St
Ste 3
Norwood, MA 02062
Phone (781) 762-1531

886 Washington St
Ste 2R
Norwood, MA 02062

886 Washington St
Ste 3
Norwood, MA 02062
Phone (781) 278-4566

700 Congress St
Quincy, MA 02169
Phone (617) 471-1555

521 Mount Auburn St
Ste 101
Watertown, MA 02472
Phone (617) 657-1853

6 Mary E Clark Dr
Ste 1
Hampstead, NH 03841
Phone (603) 329-4040

56 Stiles Rd
Ste 104
Salem, NH 03079
Phone (603) 458-6579

Practitioners & affiliated clinicians

Practitioners 285

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 285

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228521600000",
    "number": "1174513204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3994",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022413994",
            "telephone_number": "617-562-5338",
            "fax_number": "617-562-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "address_2": "CARITAS CHRISTI PHYSICIANS NETWORK",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-562-5338",
            "fax_number": "617-562-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-12-06",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SR. VP OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "617-562-5338",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9773746",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "737829",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.