Active NPI
Radiation Therapy of Southeastern Ma LLC
- Early Intervention Provider Agency
- Brockton, MA
National Provider Identifier
1598947301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- RADIATION THERAPY OF SOUTHEASTERN MA LLC
- Practice address
- 55 Christy Dr
Brockton, MA 02301-1813 - Phone
- (508) 897-1505
- NPI assigned
- Dec 4, 2007
- Organization subpart
- Yes
- Parent organization
- RADIATION THERAPY OF SOUTHEASTERN MA LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Zewe
- Title
- VP
- Phone
- (617) 726-2541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
55 Christy Dr
Brockton, MA 02301-1813
Mailing address
55 Christy Dr
Brockton, MA 02301-1813
Phone (508) 897-1505
Other names 1
- Radiation Therapy of Southeastern MA Doctors
National Provider Directory
National Provider Directory- Tax ID family
- Radiation Therapy of Southeastern Ma LLC
- Part of
- Radiation Therapy of Southeastern Ma LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiation Oncology Clinic/Center
- Mansfield, MA
- NPI 1104978519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1598947301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CHRISTY DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011813",
"telephone_number": "508-897-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CHRISTY DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011813",
"telephone_number": "508-897-1505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIATION THERAPY OF SOUTHEASTERN MA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RADIATION THERAPY OF SOUTHEASTERN MA LLC",
"enumeration_date": "2007-12-04",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "ZEWE",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "617-726-2541"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Radiation Therapy of Southeastern MA Doctors",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.