Town of Watertown

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3437 Issued in MA

Legal business name

TOWN OF WATERTOWN

Practice address

149 Main St
Watertown, MA 02472-4410

Phone

(617) 972-6511

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Ryan Nicholson

Title

Chief

Phone

(617) 972-6511

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Watertown Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• City of Watertown

  • Public Health or Welfare Agency
  • Watertown, MA
  • NPI 1740365386

  9032171020

  Same PAC ID

Tax ID family

Town of Watertown2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Town of Watertown

  • Local Education Agency (LEA)
  • Watertown, MA
  • NPI 1134247778
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy J Ross, MD

  • Pediatric Adolescent Medicine Physician
  • Boston, MA
  • NPI 1851311716
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1528034493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MAIN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724410",
            "telephone_number": "617-682-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MAIN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724410",
            "telephone_number": "617-972-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WATERTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "617-972-6511"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000023044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590005406",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700879",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0007373",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1707981",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "035559",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "801818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "249573200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watertown Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Watertown Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dania Tonelli
• Vivian Toney, MD
• Alia Rose Touadjine
• Toward Independent Living & Learning, Inc.
• Town of Watertown
• Tracey L Ross LMHC LLC
• Tramontozzi LLC
• Eric Trant, ATC
• Lucas Ishmael Travassos-Lomba
• Elizabeth M Treacy

• Ambulance in Watertown, MA
• Providers in Watertown, MA by specialty
• Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.