Active NPI
Excel Academy Charter School
- Local Education Agency (LEA)
- East Boston, MA
National Provider Identifier
1316160484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1955811 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
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.