Active NPI
Cambridge Digestive Health PC
- Gastroenterology Physician
- Cambridge, MA
National Provider Identifier
1649673724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 254475
- Legal business name
- CAMBRIDGE DIGESTIVE HEALTH PC
- Practice address
- 300 Mount Auburn St
Suite 405
Cambridge, MA 02138-5600 - Phone
- (617) 661-0221
- Fax
- (617) 661-3862
- NPI assigned
- Oct 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Zandman, MD
- Title
- Owner
- Phone
- (617) 661-0221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 254475 | MA | Primary |
Addresses
Primary practice location
300 Mount Auburn St
Suite 405
Cambridge, MA 02138-5600
Mailing address
300 Mount Auburn St
Suite 405
Cambridge, MA 02138-5600
Phone (617) 661-0221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110096259A | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421280000000",
"number": "1649673724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "SUITE 405",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385600",
"telephone_number": "617-661-0221",
"fax_number": "617-661-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "SUITE 405",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385600",
"telephone_number": "617-661-0221",
"fax_number": "617-661-3862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE DIGESTIVE HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-02",
"last_updated": "2015-01-15",
"status": "A",
"authorized_official_last_name": "ZANDMAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-661-0221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "254475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110096259A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.