Organization Active NPI

Healthworks, Inc

  • Ph.D. Medical Genetics
  • Dedham, MA
National Provider Identifier
1619049657
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
53227 Issued in MA
Legal business name
HEALTHWORKS, INC
Practice address
126 Commonwealth Ave
Dedham, MA 02026-1441
Phone
(781) 326-6005
Fax
(781) 326-1736
NPI assigned
Nov 14, 2006
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Irene Goranitis, M.D.NPI 1174607105
Title
Medical Director
Phone
(781) 326-6005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X 53227 MA Primary

Addresses

Primary practice location

126 Commonwealth Ave
Dedham, MA 02026-1441

Mailing address

126 Commonwealth Ave
Dedham, MA 02026-1441
Phone (781) 326-6005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090206000018 MA Part B Supplier - Clinic/Group Practice 1355405325 Receives reassigned benefits from 1 practitioner
Practice locations: Dedham, MA

National Provider Directory

National Provider Directory
Tax ID family
Healthworks Inc2 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 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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1619049657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COMMONWEALTH AVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261441",
            "telephone_number": "781-326-6005",
            "fax_number": "781-326-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COMMONWEALTH AVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261441",
            "telephone_number": "781-326-6005",
            "fax_number": "781-326-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWORKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "GORANITIS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "781-326-6005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "MA",
            "license": "53227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.