NPIMap

Organization Active NPI

South Shore Medical Center, Inc

  • Multi-Specialty Clinic/Center
  • Norwell, MA
National Provider Identifier
1285112052
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SOUTH SHORE MEDICAL CENTER, INC
Practice address
143 Longwater Dr
Norwell, MA 02061-1683
Phone
(781) 878-5200
NPI assigned
Aug 2, 2018
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH SHORE MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Jaclyn Valanzola
Title
Provider Enrollment Supervisor
Phone
(781) 681-0384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

143 Longwater Dr
Norwell, MA 02061-1683

Mailing address

141 Longwater Dr Ste 201
Norwell, MA 02061-1620

National Provider Directory

National Provider Directory
Tax ID family
South Shore Medical Cen7 organizations share this tax ID, including this one
Part of
South Shore Medical Cen

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1285112052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LONGWATER DR STE 201",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LONGWATER DR",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611683",
            "telephone_number": "781-878-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SHORE MEDICAL CENTER, INC",
        "enumeration_date": "2018-08-02",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "VALANZOLA",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "781-681-0384"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.