Organization Active NPI

Twinbrook Urological Associates Inc.

  • Urology Physician
  • Waltham, MA
National Provider Identifier
1518144252
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TWINBROOK UROLOGICAL ASSOCIATES INC.
Practice address
20 Hope Ave
Suite 204
Waltham, MA 02453-2721
Phone
(781) 893-4555
Fax
(781) 893-5583
NPI assigned
Jan 24, 2008
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Moise Shems, M.D.
Title
Principle
Phone
(781) 893-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

20 Hope Ave
Suite 204
Waltham, MA 02453-2721

Mailing address

20 Hope Ave
Suite 204
Waltham, MA 02453-2721
Phone (781) 893-4555

Other identifiers 3

IdentifierTypeStateIssuer
M11636OtherMABLUE CROSS
9706569MedicaidMA
701442OtherMATUFTS

National Provider Directory

National Provider Directory

Locations

20 Hope Ave
Ste 204
Waltham, MA 02453
Phone (508) 259-1209

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1518144252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE 204",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-893-4555",
            "fax_number": "781-893-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE 204",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-893-4555",
            "fax_number": "781-893-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWINBROOK UROLOGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "SHEMS",
        "authorized_official_first_name": "MOISE",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "781-893-4555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M11636",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9706569",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "701442",
            "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 Jan 24, 2008; 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.