Organization Active NPI

Town of Medfield

  • Land Ambulance
  • Medfield, MA
National Provider Identifier
1689658106
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF MEDFIELD
Practice address
112 North St
Medfield, MA 02052-1611
Phone
(508) 359-2323
Fax
(508) 359-2212
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Nicholas Andexler
Title
Captain/EMS Coordintor
Phone
(508) 359-2323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3018 MA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

112 North St
Medfield, MA 02052-1611

Mailing address

112 North St
Medfield, MA 02052-1611
Phone (508) 359-2323

Other identifiers 6

IdentifierTypeStateIssuer
700282OtherHARVARD PILGRIM
608820700OtherUS DEPARTMENT OF LABOR
0021970OtherNEIGHBORHOOD HEALTH
590009163OtherRR MEDICARE
1701096MedicaidMA
804726OtherTUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070910000038 MA Part B Supplier - Ambulance Service Supplier 1951494830 Practice locations: Medfield, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Town of Medfield3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

495 Main St
Medfield, MA 02052

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1689658106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NORTH ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521611",
            "telephone_number": "508-359-2323",
            "fax_number": "508-359-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NORTH ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521611",
            "telephone_number": "508-359-2323",
            "fax_number": "508-359-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MEDFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "ANDEXLER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CAPTAIN/EMS COORDINTOR",
        "authorized_official_telephone_number": "508-359-2323"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3018",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "608820700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0021970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590009163",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701096",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "804726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.