Organization Active NPI

Digitrace Care Services Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Peabody, MA
National Provider Identifier
1376555912
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
DIGITRACE CARE SERVICES INC
Practice address
200 Corporate PL
Suite 5B
Peabody, MA 01960
Phone
(781) 937-3290
Fax
(781) 937-6966
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Angela Nauful
Title
VP Compliance & Contracting
Phone
(770) 309-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

200 Corporate PL
Suite 5B
Peabody, MA 01960

Mailing address

200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400

National Provider Directory

National Provider Directory

Locations

800 W Cummings Park
Ste 5325
Woburn, MA 01801
Phone (781) 848-9111

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1376555912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "SUITE 5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400",
            "fax_number": "978-535-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "SUITE 5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "781-937-3290",
            "fax_number": "781-937-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITRACE CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "NAUFUL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "VP COMPLIANCE & CONTRACTING",
        "authorized_official_telephone_number": "770-309-2000"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.