Active NPI
Twinbrook Urological Associates Inc.
- Urology Physician
- Waltham, MA
National Provider Identifier
1518144252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M11636 | Other | MA | BLUE CROSS |
| 9706569 | Medicaid | MA | |
| 701442 | Other | MA | TUFTS |
National Provider Directory
National Provider DirectoryLocations
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.