St. Elizabeth'S Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

264791 Issued in MA

Legal business name

ST. ELIZABETH'S MEDICAL CENTER

Practice address

60 Hope Ave Apt 115
Waltham, MA 02453-2749

Phone

(856) 305-4541

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Judi Sorerssi

Title

Program Coordinator

Phone

(617) 789-2220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1689056558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HOPE AVE APT 115",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532749",
            "telephone_number": "856-305-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ELIZABETH'S MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "SORERSSI",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "617-789-2220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "264791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ssegujja
• Robert Ssekiranda
• Sarah Zawedde Ssentongo
• Christina St Simon
• St. Elizabeth Medical Center
• Roberta Ann Stack, D.C.
• Stage One Home Care and Staffing
• Paula Sherin Stahl, LMHC
• Donna Ann Stampone, N.P. M.S.
• Cole Stanley

• General Acute Care Hospital in Waltham, MA
• Providers in Waltham, MA by specialty
• General Acute Care Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.