City of Medford

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

NA Issued in MA

Legal business name

CITY OF MEDFORD

Practice address

85 George P Hassett Dr
Medford, MA 02155-3256

Phone

(782) 393-2560

Fax

(781) 393-2562

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Karen Rose, RN,BA,MS

Title

Director, Board of Health

Phone

(781) 393-2560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

City of Medford2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• City of Medford

  • Local Education Agency (LEA)
  • Medford, MA
  • NPI 1790815330
  NPD tax ID

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396967816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GEORGE P HASSETT DR",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553256",
            "telephone_number": "782-393-2560",
            "fax_number": "781-393-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GEORGE P HASSETT DR",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553256",
            "telephone_number": "782-393-2560",
            "fax_number": "781-393-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MEDFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR, BOARD OF HEALTH",
        "authorized_official_telephone_number": "781-393-2560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,BA,MS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Anne Ciarcia
• Anne Ciasullo
• Nancy Cibotti Granof, MD
• Elizabeth Cicerano, LICSW
• Lauren Marie Cirino
• City of Medford
• Nathan Clement
• Julie Ann Clemente, MS,CCC/SLP,CEIS
• Jeanne Steinberg Clifford, M.D.
• William Cliggott, RN

• Public Health or Welfare Agency in Medford, MA
• Providers in Medford, MA by specialty
• Public Health or Welfare Agency in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.