New England Organ Bank, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

NEW ENGLAND ORGAN BANK, INC.

Practice address

60 First Avenue
Waltham, MA 02451-1106

Phone

(617) 244-8000

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Alexandra K Glazier, JD, MPH

Title

VP & General Counsel

Phone

(617) 244-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1316272479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FIRST AVENUE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511106",
            "telephone_number": "617-244-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FIRST AVENUE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511106",
            "telephone_number": "617-244-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORGAN BANK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "GLAZIER",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP & GENERAL COUNSEL",
        "authorized_official_telephone_number": "617-244-8000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD, MPH"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NO.",
            "identifier": "22P001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Waltham, MA
• Providers in Waltham, MA by specialty
• Voluntary or Charitable Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.