Organization Active NPI

Defis, Inc.

  • Clinic/Center
  • Worcester, MA
National Provider Identifier
1326236175
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DEFIS, INC.
Practice address
33 Oak Ave
Worcester, MA 01605-2752
Phone
(508) 752-1304
Fax
(508) 752-4603
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Mrs. Linda Johnson
Title
President
Phone
(508) 752-1304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

33 Oak Ave
Worcester, MA 01605-2752

Mailing address

33 Oak Ave
Worcester, MA 01605-2752
Phone (508) 752-1304

Other identifiers 1

IdentifierTypeStateIssuer
9731521MedicaidMA

National Provider Directory

National Provider Directory

Locations

33 Oak Ave
Worcester, MA 01605
Phone (508) 752-1304

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1326236175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052752",
            "telephone_number": "508-752-1304",
            "fax_number": "508-752-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052752",
            "telephone_number": "508-752-1304",
            "fax_number": "508-752-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-752-1304",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9731521",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.