Match Charter Public High School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MATCH CHARTER PUBLIC HIGH SCHOOL

Practice address

1001 Commonwealth Ave
Boston, MA 02215-1308

Phone

(617) 232-0300

Fax

(617) 232-2838

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alan P.G. Safran

Title

Executive Director

Phone

(617) 232-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528191947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151308",
            "telephone_number": "617-232-0300",
            "fax_number": "617-232-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151308",
            "telephone_number": "617-232-0300",
            "fax_number": "617-232-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCH CHARTER PUBLIC HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAFRAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "P.G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-232-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Francis Mastriano II, MS, RPH.
• James Francis Mastromatteo, M.D.
• Sarah Masukewicz, RD, LDN, CNSC
• Douglas A Mata, MD
• Sydney Isabella Mata, PA
• Kateryna Matchenko, DMD
• Farrah J Mateen, MD
• Elizabeth Mateer, LMHCA
• Liseimy Analiz Mateo Torres
• Airam Paola Mateo, RN

• Local Education Agency (LEA) in Boston, MA
• Providers in Boston, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.