Organization Active NPI

City of Waltham

  • Local Education Agency (LEA)
  • Waltham, MA
National Provider Identifier
1407996911
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CITY OF WALTHAM
Practice address
617 Lexington St
Waltham, MA 02452-3003
Phone
(781) 314-5420
Fax
(781) 314-5540
NPI assigned
Feb 7, 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
Mr. John J Pinzone Jr.
Title
Fiscal Coordinator
Phone
(781) 314-5420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

617 Lexington St
Waltham, MA 02452-3003

Mailing address

617 Lexington St
Waltham, MA 02452-3003
Phone (781) 314-5420

Other identifiers 1

IdentifierTypeStateIssuer
1951912MedicaidMA

National Provider Directory

National Provider Directory

Locations

617 Lexington St
Waltham, MA 02452
Phone (781) 314-5420

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407996911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024523003",
            "telephone_number": "781-314-5420",
            "fax_number": "781-314-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024523003",
            "telephone_number": "781-314-5420",
            "fax_number": "781-314-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WALTHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINZONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FISCAL COORDINATOR",
        "authorized_official_telephone_number": "781-314-5420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951912",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, 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.