Organization Active NPI

The Hurowitz Medical Group

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1710091319
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54669 Issued in MA
Legal business name
THE HUROWITZ MEDICAL GROUP
Practice address
255 Park Ave
Suite 210
Worcester, MA 01609-1953
Phone
(508) 753-8800
Fax
(508) 753-0116
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Marc I Hurowitz
Title
Executive Director
Phone
(508) 753-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 54669 MA Primary

Addresses

Primary practice location

255 Park Ave
Suite 210
Worcester, MA 01609-1953

Mailing address

255 Park Ave
Suite 210
Worcester, MA 01609-1985
Phone (508) 753-8800

Other identifiers 1

IdentifierTypeStateIssuer
M15839OtherMABLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

141 Highland St
Worcester, MA 01609
Phone (508) 753-8800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1710091319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 210",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091985",
            "telephone_number": "508-753-8800",
            "fax_number": "508-753-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "address_2": "SUITE 210",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-753-8800",
            "fax_number": "508-753-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HUROWITZ MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "HUROWITZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-753-8800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "54669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "M15839",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.