NPIMap

Organization Active NPI

Rogerson Communities

  • Adult Day Care Clinic/Center
  • Roxbury, MA
National Provider Identifier
1376600569
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ROGERSON COMMUNITIES
Practice address
2053R Columbus Avenue
Roxbury, MA 02119
Phone
(617) 469-5800
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Matt Piccarini Jr.
Title
Financial Performance Manager
Phone
(617) 463-5836

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X MA

Addresses

Primary practice location

2053R Columbus Avenue
Roxbury, MA 02119

Mailing address

2053R Columbus Avenue
Roxbury, MA 02119
Phone (617) 469-5800

Other identifiers 1

IdentifierTypeStateIssuer
1905970MedicaidMA

Other names 1

  • Rogerson -Egleston Adult Day Health Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rogerson -Egleston Adult Day Health Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1376600569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053R COLUMBUS AVENUE",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "02119",
            "telephone_number": "617-469-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053R COLUMBUS AVENUE",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "02119",
            "telephone_number": "617-469-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERSON COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "PICCARINI",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "FINANCIAL PERFORMANCE MANAGER",
        "authorized_official_telephone_number": "617-463-5836",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905970",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogerson -Egleston Adult Day Health Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.