NPIMap

Organization Active NPI

Care Dimensions, Inc.

  • Internal Medicine Physician
  • Danvers, MA
National Provider Identifier
1538712781
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARE DIMENSIONS, INC.
Practice address
75 Sylvan St Ste B102
Danvers, MA 01923-2764
Phone
(888) 283-1722
NPI assigned
Jul 17, 2019
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Phillip B Cibelli
Title
Cfo
Phone
(978) 750-9362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

75 Sylvan St Ste B102
Danvers, MA 01923-2764

Mailing address

75 Sylvan St Ste B102
Danvers, MA 01923-2764
Phone (888) 283-1722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000726 MA Part B Supplier - Clinic/Group Practice 7214924554 Receives reassigned benefits from 63 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Danvers, MA; Lincoln, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Care Dimensions Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

125 Winter St
Lincoln, MA 01773
Phone (781) 728-1979

70 Walnut St
Ste 301
Wellesley, MA 02481
Phone (781) 373-6501

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1538712781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST STE B102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232764",
            "telephone_number": "888-283-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST STE B102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232764",
            "telephone_number": "888-283-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DIMENSIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "CIBELLI",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-750-9362"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.