NPIMap

Organization Active NPI

Ma-Department of Social Services-Commonworks Rehab

  • Public Health or Welfare Agency
  • Boston, MA
National Provider Identifier
1457578734
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MA-DEPARTMENT OF SOCIAL SERVICES-COMMONWORKS REHAB
Practice address
24 Farnsworth St
Boston, MA 02210-1264
Phone
(617) 748-2000
Fax
(617) 439-9027
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Ellen Finnegan
Title
Chief Fiscal Officer
Phone
(617) 748-2069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

24 Farnsworth St
Boston, MA 02210-1264

Mailing address

24 Farnsworth St
Boston, MA 02210-1264
Phone (617) 748-2000

Other identifiers 1

IdentifierTypeStateIssuer
1803557MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
C Stanley Raymond146 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

24 Farnsworth St
Boston, MA 02210
Phone (617) 748-2000

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1457578734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FARNSWORTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101264",
            "telephone_number": "617-748-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FARNSWORTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101264",
            "telephone_number": "617-748-2000",
            "fax_number": "617-439-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA-DEPARTMENT OF SOCIAL SERVICES-COMMONWORKS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "FINNEGAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CHIEF FISCAL OFFICER",
        "authorized_official_telephone_number": "617-748-2069"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1803557",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.