Town of Randolph

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

TOWN OF RANDOLPH

Practice address

1 Turner LN
Randolph, MA 02368-3927

Phone

(781) 961-0924

Fax

(781) 961-0927

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John J Fitzgibbons

Title

Town Treasurer

Phone

(781) 961-0913

Specialties & licenses 1

Addresses

Other names 1

• Randolph BOH Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Town of Randolph

  • Land Ambulance
  • Randolph, MA
  • NPI 1790834141

  6103836739

  Same PAC ID

Tax ID family

Town of Randolph3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Town of Randolph

  • Local Education Agency (LEA)
  • Randolph, MA
  • NPI 1376677252
  NPD tax ID
• Town of Randolph

  • Land Ambulance
  • Randolph, MA
  • NPI 1790834141
  NPD tax ID

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619198959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TURNER LN",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683927",
            "telephone_number": "781-961-0924",
            "fax_number": "781-961-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TURNER LN",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683927",
            "telephone_number": "781-961-0924",
            "fax_number": "781-961-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF RANDOLPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGIBBONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TOWN TREASURER",
        "authorized_official_telephone_number": "781-961-0913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph BOH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David To, D.M.D.
• Amanda Tobias, PA-C
• Taylor Todd
• Elimarie Torres
• Town of Randolph
• Town of Randolph
• Lucia Tran
• Quan Luu Tran, DMD
• Trans Dental Care, Inc
• Aissata Traore

• Public Health or Welfare Agency in Randolph, MA
• Providers in Randolph, MA by specialty
• Public Health or Welfare Agency in Massachusetts

• 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.
• 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.