Jose A. Dos Anjos

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2304675 Issued in MA

Practice address

115 West St
Brockton, MA 02301-3185

Phone

(508) 205-9724

NPI assigned

Apr 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Jose Antonio Tavares Dos Anjos Other name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walk-in MD Clinic 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walk-in MD Clinic

  • Urgent Care Clinic/Center
  • Randolph, MA
  • NPI 1003543398

  MA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1619618600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WEST ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013185",
            "telephone_number": "508-205-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WEST ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013185",
            "telephone_number": "508-205-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOS ANJOS",
        "first_name": "JOSE",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "MA",
            "license": "RT10198",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2304675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "DOS ANJOS",
            "middle_name": "ANTONIO TAVARES",
            "prefix": "MR.",
            "credential": "RN, BSN, OMS, DWC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Issadorah Dorcely
• Marie Belynda Dorcena, LPN
• Jacqueline Greer Dorfman - Manning, M.ED.
• Anderson Dos Anjos
• Casandra Ann Dos Anjos, MA
• Arlindo Nascimento Dos Reis
• Brenda Jean Dos Santos, FNP
• Courtney Ann Dos Santos, LICSW
• Rajiv R Doshi, M.D.
• Lisa Doubleday, M.ED

• All providers in Brockton, MA
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.