Organization Active NPI

Excel Academy Charter School

  • Local Education Agency (LEA)
  • East Boston, MA
National Provider Identifier
1316160484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
EXCEL ACADEMY CHARTER SCHOOL
Practice address
1150 Saratoga St
East Boston, MA 02128-1228
Phone
(617) 561-1371
NPI assigned
Apr 10, 2007
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
Sabriya Stewart
Title
Operations Manager
Phone
(617) 561-1371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

1150 Saratoga St
East Boston, MA 02128-1228

Mailing address

1150 Saratoga St
East Boston, MA 02128-1228

Other identifiers 1

IdentifierTypeStateIssuer
1955811MedicaidMA

National Provider Directory

National Provider Directory

Locations

1150 Saratoga St
East Boston, MA 02128
Phone (617) 561-1371

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316160484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SARATOGA ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SARATOGA ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281228",
            "telephone_number": "617-561-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SABRIYA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "617-561-1371"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955811",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East 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.