NPIMap

Organization Active NPI

Martha's Vineyard Hospital, Inc.

  • Critical Access Hospital
  • Oak Bluffs, MA
National Provider Identifier
1497832646
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2042 Issued in MA
Legal business name
MARTHA'S VINEYARD HOSPITAL, INC.
Practice address
1 Hospital Rd
Oak Bluffs, MA 02557
Phone
(508) 693-0410
Fax
(508) 696-8516
NPI assigned
Nov 1, 2006
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARTHA'S VINEYARD HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Vincent T McDermott
Title
SVP, Chief Financial Officer
Phone
(617) 243-6381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 2042 MA Primary

Addresses

Primary practice location

1 Hospital Rd
Oak Bluffs, MA 02557

Mailing address

PO Box 1477
Oak Bluffs, MA 02557-1477
Phone (508) 693-0410

Other names 1

  • Swing Bed Program Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070205000346 MA Part A Provider - Critical Access Hospital 9931166113 Practice locations: Oak Bluffs, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497832646. Details of each certification follow.

Hospital certification: CCN 22Z300

Legal name
MARTHA'S VINEYARD HOSPITAL INC
Doing business as
MARTHA'S VINEYARD HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jul 22, 1921 in MA
Enrollment address
1 Hospital Rd
Oak Bluffs, MA 25571406
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Marthas Vineyard Hospti5 organizations share this tax ID, including this one
Part of
Marthas Vineyard Hospti

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Zachary Rosenburg Individual Corporate DirectorTrustee Mar 31, 2023
Thomas W Colomb Individual Corporate OfficerAssistant Secretary Jul 24, 2020
Debra a Burke Individual Corporate OfficerTrustee Jan 1, 2016
Daniel E Pesch Individual Corporate DirectorChief Medical Officer Jul 1, 2020
John M Denson Individual Corporate DirectorTrustee Nov 1, 2023
Joanna Hazell Individual Corporate DirectorDirector, Provider Enrollment Jan 1, 2024
W-2 Managing Employee Jan 1, 2024
Brent L Henry Individual Corporate OfficerTrustee Feb 1, 2007
Bruce Bullen Individual Corporate Director Jul 1, 2020
Paulo C Deoliveira Individual Corporate DirectorTrustee Jul 26, 2024
Denise Schepici Individual Corporate OfficerPresident Jul 1, 2020
Vincent T McDermott Individual Corporate DirectorCfo Jan 1, 2024
Robert M Greenglass Individual Corporate DirectorTrustee Jul 28, 2025
Christopher Scott Individual Corporate DirectorTrustee Jul 1, 2020
Juliette E Fay Individual Corporate DirectorTrustee Jul 1, 2020
Peter Nessen Individual Corporate OfficerOfficer / Treasurer Jul 1, 2020
William J Roman Individual Corporate DirectorTrustee Jul 1, 2020
The Massachusetts General Hospital Organization, Boston, MA Corporation 5% Or Greater Direct Ownership Interest Feb 1, 2007 100%
Rebecca Haag Individual Corporate DirectorTrustee, Chair Jul 29, 2022
Valerie E Stone Individual Corporate OfficerTrustee, Vice Chair Jun 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1497832646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1477",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571477",
            "telephone_number": "508-693-0410",
            "fax_number": "508-696-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "02557",
            "telephone_number": "508-693-0410",
            "fax_number": "508-696-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA'S VINEYARD HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTHA'S VINEYARD HOSPITAL, INC.",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-243-6381"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MA",
            "license": "2042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Swing Bed Program",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Swing Bed Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Bluffs, MA

Sources for this page

Verify at the official NPI Registry.