NPIMap

Organization Active NPI

Sidney Borum Jr. Health Center

  • Health Service Clinic/Center
  • Boston, MA
National Provider Identifier
1306991088
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
250429 Issued in MA
Legal business name
SIDNEY BORUM JR. HEALTH CENTER
Practice address
130 Boylston St
Boston, MA 02116-4608
Phone
(617) 457-8140
Fax
(617) 457-8141
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Karla Hoxha Brown, NPNPI 1295046076
Title
Family Nurse Practitioner
Phone
(617) 457-8140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 250429 MA Primary

Addresses

Primary practice location

130 Boylston St
Boston, MA 02116-4608

Mailing address

130 Boylston St
Boston, MA 02116-4608
Phone (617) 457-8140

National Provider Directory

National Provider Directory
Tax ID family
Justice Resource Institute23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306991088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164608",
            "telephone_number": "617-457-8140",
            "fax_number": "617-457-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164608",
            "telephone_number": "617-457-8140",
            "fax_number": "617-457-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY BORUM JR. HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOXHA BROWN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-457-8140",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": "250429",
            "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.