Town of Essex

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

TOWN OF ESSEX

Practice address

30 Martin St
Essex, MA 01929-1235

Phone

(978) 768-7614

NPI assigned

Apr 3, 2009

Last updated

Oct 14, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

TOWN OF ESSEX, MAAs reported in NPPES

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

Authorized official

Name

Elaine Wozny

Title

Health Agent

Phone

(978) 768-7614

Specialties & licenses 1

Addresses

Other names 1

• Essex Board of Health Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Town of Essex

  dba Essex Fire Department

  • Ambulance
  • Essex, MA
  • NPI 1447240759

  5890741912

  Same PAC ID

Tax ID family

Essex Fire Dept2 organizations share this tax ID, including this one

Part of

Essex Fire Dept

Other organizations with this tax ID 1

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

• Town of Essex

  dba Essex Fire Department

  • Ambulance
  • Essex, MA
  • NPI 1447240759
  NPD tax ID

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1396987400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MARTIN ST",
            "city": "ESSEX",
            "state": "MA",
            "postal_code": "019291235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MARTIN ST",
            "city": "ESSEX",
            "state": "MA",
            "postal_code": "019291235",
            "telephone_number": "978-768-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ESSEX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF ESSEX, MA",
        "enumeration_date": "2009-04-03",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "WOZNY",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "HEALTH AGENT",
        "authorized_official_telephone_number": "978-768-7614"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex Board of Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mackenzie Holly Poulos, BCBA
• Kathleen A Quill, BCBA-D
• Anna Rich
• Marybeth Smith
• Jennifer Wren Tolo, RN
• Town of Essex (Essex Fire Department)
• Debra Welling
• James R Zaremba, LICSW

• Public Health or Welfare Agency in Essex, MA
• Providers in Essex, 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 Oct 14, 2011; 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.