Wingate at Sudbury, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OFES Issued in MA

Legal business name

WINGATE AT SUDBURY, INC.

Doing business as

Wingate at Sudbury Rehab. & Skilled Nsg. Residence

Practice address

136 Boston Post Rd
Sudbury, MA 01776-2406

Phone

(978) 443-2722

Fax

(978) 443-2711

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tamilyn M. Levin, ESQ.

Title

Cfo

Phone

(781) 707-9510

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wingate at Sudbury Rehab. & Skilled Nsg. Residence Doing business as

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1639128507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KENDRICK ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942708",
            "telephone_number": "781-707-9085",
            "fax_number": "781-707-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762406",
            "telephone_number": "978-443-2722",
            "fax_number": "978-443-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGATE AT SUDBURY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "TAMILYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-707-9510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "OFES",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026478B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wingate at Sudbury Rehab. & Skilled Nsg. Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Weksner Psychotherapy, LLC
• Wellness Medical Supply
• Nancy Lynn Wells, RPH,
• Denise Ann White, L.M.T.
• William Hershberger DMD & Associates, PC
• William F Wirth Jr., M.D.
• Peter Elliot Yaffe, PH.D.
• Debra Yavner, MD
• Stanley Xuelin Ye, DMD
• Jenna Yong, DPT

• Skilled Nursing Facility in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.