NPIMap

Organization Active NPI

Umass Memorial Medical Center

  • Medical Specialty Clinic/Center
  • Worcester, MA
National Provider Identifier
1356670293
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
UMASS MEMORIAL MEDICAL CENTER
Practice address
119 Belmont St
New England Hemophilia Center at Umass Memorial
Worcester, MA 01605-2903
Phone
(508) 334-6047
Fax
(508) 334-6920
NPI assigned
Dec 23, 2009
Organization subpart
Yes
Parent organization
UMASS MEMORIAL HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Doreen B Brettler, MD
Title
Medical Director
Phone
(508) 334-6093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

119 Belmont St
New England Hemophilia Center at Umass Memorial
Worcester, MA 01605-2903

Mailing address

119 Belmont St
Att Terri Russo, South 1 Administration
Worcester, MA 01605-2903
Phone (508) 334-6843

Other names 1

  • New England Hemophilia Center at UMass Memorial Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Umass Memorial Medical Center Inc15 organizations share this tax ID, including this one
Part of
Umass Memorial

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

119 Belmont St
#1
Worcester, MA 01605

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1356670293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BELMONT ST",
            "address_2": "ATT TERRI RUSSO, SOUTH 1 ADMINISTRATION",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052903",
            "telephone_number": "508-334-6843",
            "fax_number": "508-334-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BELMONT ST",
            "address_2": "NEW ENGLAND HEMOPHILIA CENTER AT UMASS MEMORIAL",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052903",
            "telephone_number": "508-334-6047",
            "fax_number": "508-334-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UMASS MEMORIAL HEALTHCARE, INC",
        "enumeration_date": "2009-12-23",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "BRETTLER",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-334-6093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Hemophilia Center at UMass Memorial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 5, 2010; 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.