NPIMap

Organization Active NPI

Coram/CVS Specialty

  • Registered Dietitian
  • Canton, MA
National Provider Identifier
1548717804
Registry record updated Sep 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3168 Issued in MA
Legal business name
CORAM/CVS SPECIALTY
Practice address
26 Church St
Canton, MA 02021-2936
Phone
(845) 235-2199
NPI assigned
Sep 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2016

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

Authorized official

Name
Judith Ciampoli
Title
Territory Manager
Phone
(781) 686-8566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 3168 MA Primary

Addresses

Primary practice location

26 Church St
Canton, MA 02021-2936

Mailing address

26 Church St
Canton, MA 02021-2936

National Provider Directory

National Provider Directory
Tax ID family
Coramcvs Specialty2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472947200000",
    "number": "1548717804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CHURCH ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CHURCH ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212936",
            "telephone_number": "845-235-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM/CVS SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-04",
        "last_updated": "2016-09-04",
        "status": "A",
        "authorized_official_last_name": "CIAMPOLI",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "TERRITORY MANAGER",
        "authorized_official_telephone_number": "781-686-8566"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2016; 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.