NPIMap

Organization Active NPI

Associated Internists of Randolph, Inc.

  • Internal Medicine Physician
  • Stoughton, MA
National Provider Identifier
1710008982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32453 Issued in MA
Legal business name
ASSOCIATED INTERNISTS OF RANDOLPH, INC.
Practice address
New England Sinai Hospital
250 York Street
Stoughton, MA 02072
Phone
(781) 344-0600
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter C. Roos, M.D.
Title
President
Phone
(508) 801-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 32453 MA Primary

Addresses

Primary practice location

New England Sinai Hospital
250 York Street
Stoughton, MA 02072

Mailing address

108 Breakwater Shores Dr
Hyannis, MA 02601-4800
Phone (508) 790-8219

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710008982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BREAKWATER SHORES DR",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026014800",
            "telephone_number": "508-790-8219",
            "fax_number": "508-534-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW ENGLAND SINAI HOSPITAL",
            "address_2": "250 YORK STREET",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "781-344-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED INTERNISTS OF RANDOLPH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-801-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "32453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.