Organization Active NPI

Dynamicare Health

  • Peer Specialist
  • Boston, MA
National Provider Identifier
1346878725
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
DYNAMICARE HEALTH
Practice address
6 Liberty SQ # 2102
Boston, MA 02109-5800
Phone
(855) 539-6264
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Eric Elias Gastfriend
Title
Ceo
Phone
(617) 564-1084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

6 Liberty SQ # 2102
Boston, MA 02109-5800

Mailing address

6 Liberty SQ # 2102
Boston, MA 02109-5800
Phone (617) 564-1084

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL analytics.dynamicarehealth.com Direct

National Provider Directory

National Provider Directory

Locations

288 Norfolk St
Ste 4
Cambridge, MA 02139

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1346878725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ # 2102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095800",
            "telephone_number": "617-564-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ # 2102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095800",
            "telephone_number": "855-539-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMICARE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "GASTFRIEND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-564-1084"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "analytics.dynamicarehealth.com",
            "affiliation": "N",
            "endpointDescription": "Secure login system for affiliated providers",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "288 Norfolk St Ste 4",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021391430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 18, 2021; 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.