Active NPI
Joslin Diabetes Clinic, Inc
- Durable Medical Equipment & Medical Supplies
- Boston, MA
National Provider Identifier
1588865513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4S33
- Legal business name
- JOSLIN DIABETES CLINIC, INC
- Practice address
- 1 Joslin PL
Boston, MA 02215-5306 - Phone
- (617) 732-2400
- NPI assigned
- May 29, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. Wesley Benbow
- Title
- Director of Finance
- Phone
- (617) 226-5745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4S33 | MA | Primary |
Addresses
Primary practice location
1 Joslin PL
Boston, MA 02215-5306
Mailing address
1 Joslin PL
Boston, MA 02215-5306
Phone (617) 732-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9784373 | Medicaid | MA | |
| CH7221 | Other | MA | RR MEDICARE GROUP # |
National Provider Directory
National Provider Directory- Tax ID family
- Joslin Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Boston, MA
- NPI 1255574901
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatry Physician
- Brookline, MA
- NPI 1609813328
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1902841596
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1922107234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1588865513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JOSLIN PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155306",
"telephone_number": "617-732-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JOSLIN PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155306",
"telephone_number": "617-732-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSLIN DIABETES CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BENBOW",
"authorized_official_first_name": "WESLEY",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "617-226-5745",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MA",
"license": "4S33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9784373",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP #",
"identifier": "CH7221",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- 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.