Active NPI
Ernestine Thompson
- Prosthetics Case Management
- Stoughton, MA
National Provider Identifier
1417646191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 1103080
- Practice address
- 52 Porter St
Stoughton, MA 02072 - Phone
- (781) 341-3400
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 1103080 | MA | Primary |
Addresses
Primary practice location
52 Porter St
Stoughton, MA 02072
Mailing address
65 Westmore Rd
Mattapan, MA 02126
Phone (617) 256-3355
Other practice location 1
112 West 9th Street SUITE 230
Los Angeles, CA 90015
Phone (617) 256-3355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1103080 | MA | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muffens International Services Inc | Current | Accepting new patients |
Locations
112 W 9th St
Ste 230
Los Angeles, CA 90015
Phone (617) 256-3355
52 Porter St
Stoughton, MA 02072
Phone (617) 434-3395
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Stoughton, MA
- NPI 1124717806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1417646191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 WESTMORE RD",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "02126",
"telephone_number": "617-256-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 PORTER ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "02072",
"telephone_number": "781-341-3400"
}
],
"practiceLocations": [
{
"address_1": "112 West 9th Street SUITE 230",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90015",
"country_code": "US",
"telephone_number": "617-256-3355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "ERNESTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "MA",
"license": "1103080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.