Organization Active NPI

Watertown Health Center, LLC

  • Skilled Nursing Facility
  • Watertown, MA
National Provider Identifier
1255753950
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0707 Issued in MA
Legal business name
WATERTOWN HEALTH CENTER, LLC
Doing business as
Watertown Health Center
Practice address
59 Coolidge Hill Rd
Watertown, MA 02472-2816
Phone
(617) 924-1130
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Mr. Avi Lipshutz
Title
Ceo
Phone
(732) 710-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0707 MA Primary

Addresses

Primary practice location

59 Coolidge Hill Rd
Watertown, MA 02472-2816

Mailing address

59 Coolidge Hill Rd
Watertown, MA 02472-2816
Phone (617) 924-1130

Other names 1

  • Watertown Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0078404Watertown Health Center59 Coolidge Hill Road, Watertown, MA 02472Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1255753950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COOLIDGE HILL RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722816",
            "telephone_number": "617-924-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 COOLIDGE HILL RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722816",
            "telephone_number": "617-924-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "LIPSHUTZ",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-710-4431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watertown Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.

Verify at the official NPI Registry.