Active NPI
Crossover Health Medical Group
- Specialist
- Boston, MA
National Provider Identifier
1225899552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CROSSOVER HEALTH MEDICAL GROUP
- Practice address
- 245 Summer St
Boston, MA 02210-1133 - Phone
- (617) 563-9119
- Fax
- (617) 692-6389
- NPI assigned
- Jan 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenette Hunter
- Title
- Licensing and Credentialing Manager
- Phone
- (971) 500-2661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
245 Summer St
Boston, MA 02210-1133
Mailing address
245 Summer St
Boston, MA 02210-1133
Phone (617) 563-9119
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2307798 | Crossover Health Medical Group, Apc | Certificate of waiver | Jul 15, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Crossover Medical Group
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Specialist
- Gloucester, MA
- NPI 1104263953
-
- Specialist
- Newburyport, MA
- NPI 1104264902
-
- Specialist
- Boston, MA
- NPI 1841122546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1225899552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 SUMMER ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022101133",
"telephone_number": "617-563-9119",
"fax_number": "617-692-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 SUMMER ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022101133",
"telephone_number": "617-563-9119",
"fax_number": "617-692-6389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "JENETTE",
"authorized_official_title_or_position": "LICENSING AND CREDENTIALING MANAGER",
"authorized_official_telephone_number": "971-500-2661"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"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 Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.