NPIMap

Organization Active NPI

Tufts University Health Service

  • Health Service Clinic/Center
  • Medford, MA
National Provider Identifier
1669658712
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TUFTS UNIVERSITY HEALTH SERVICE
Practice address
124 Professors Row
Medford, MA 02155-5816
Phone
(617) 627-3350
Fax
(617) 627-3592
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Dr. Marie Caggiano, M.D.
Title
Medical Director
Phone
(617) 627-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MA Primary

Addresses

Primary practice location

124 Professors Row
Medford, MA 02155-5816

Mailing address

124 Professors Row
Medford, MA 02155-5816
Phone (617) 627-3350

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0690692Tufts University Health Service Clinical124 Professors Row, Medford, MA 02155ComplianceSep 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Tufts University Lab23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

124 Professors Row
Medford, MA 02155
Phone (617) 625-3350

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1669658712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PROFESSORS ROW",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555816",
            "telephone_number": "617-627-3350",
            "fax_number": "617-627-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PROFESSORS ROW",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555816",
            "telephone_number": "617-627-3350",
            "fax_number": "617-627-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUFTS UNIVERSITY HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "CAGGIANO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-627-3350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.