NPIMap

Organization Active NPI

Massachusetts General Hospital

  • General Acute Care Hospital
  • Boston, MA
National Provider Identifier
1366561391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
16398 Issued in MA
Legal business name
MASSACHUSETTS GENERAL HOSPITAL
Practice address
15 Parkman St
MGH Wang Ambulatory Care Center
Boston, MA 02114-3117
Phone
(617) 726-3023
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Colleen Theresa Gillen, PT
Title
Physical Therapist
Phone
(617) 726-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 16398 MA Primary

Addresses

Primary practice location

15 Parkman St
MGH Wang Ambulatory Care Center
Boston, MA 02114-3117

Mailing address

40 Ibbetson St
Apt. 2
Somerville, MA 02143-2404
Phone (781) 420-9608

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366561391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 IBBETSON ST",
            "address_2": "APT. 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432404",
            "telephone_number": "781-420-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "MGH WANG AMBULATORY CARE CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-726-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLEN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-726-3023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "16398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 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.

Verify at the official NPI Registry.