Digitrace Care Services, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

DIGITRACE CARE SERVICES, INC

Practice address

1010 Gar Hwy
1St Floor Unit 2
Swansea, MA 02777-4566

Phone

(917) 472-9821

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Carl R Iberger

Title

Cfo-Evp

Phone

(978) 536-7400

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1497797096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 GAR HWY",
            "address_2": "1ST FLOOR UNIT 2",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774566",
            "telephone_number": "917-472-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITRACE CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "IBERGER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO-EVP",
        "authorized_official_telephone_number": "978-536-7400"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH RI",
            "identifier": "0274",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "6178",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2860005",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7618325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3400027",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "607536",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "409503",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH MA",
            "identifier": "9468",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626067",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki L Demello, MS,CCC-SLP
• Bethany A Denardo, PT, DPT
• Barbara E Denuyl, M.D.
• Richard Deppisch
• Kelefa Diakite
• Digitrace Care Services, Inc
• Victoria Dinis
• Jill Dos Reis, CNP
• Erin Kathleen Ducey
• Hailey Ducharme

• Sleep Disorder Diagnostic Clinic/Center in Swansea, MA
• Providers in Swansea, MA by specialty
• Sleep Disorder Diagnostic Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.