Individual provider Active NPI

John Allan Bent Alzate, RN

  • Registered Nurse
  • Quincy, MA
National Provider Identifier
1629806054
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2391481 Issued in MA
Practice address
1419 Hancock St Ste 200&201
Quincy, MA 02169-5250
Phone
(617) 770-9690
Fax
(617) 770-9692
NPI assigned
Jul 25, 2024
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2391481 MA Primary

Addresses

Primary practice location

1419 Hancock St Ste 200&201
Quincy, MA 02169-5250

Mailing address

1419 Hancock St Ste 200&201
Quincy, MA 02169-5250
Phone (617) 770-9690

Other practice location 1

1419 Hancock St Ste 200&201
Quincy, MA 02169-5250
Phone (617) 770-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2391481MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1629806054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 HANCOCK ST STE 200&201",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695250",
            "telephone_number": "617-770-9690",
            "fax_number": "617-770-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HANCOCK ST STE 200&201",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695250",
            "telephone_number": "617-770-9690",
            "fax_number": "617-770-9692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Hancock St Ste 200&201",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021695250",
            "country_code": "US",
            "telephone_number": "617-770-9690",
            "fax_number": "617-770-9692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENT ALZATE",
        "first_name": "JOHN",
        "middle_name": "ALLAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2391481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.