Organization Active NPI

Emaya Health Inc.

  • Clinical Medical Laboratory
  • Worcester, MA
National Provider Identifier
1710214853
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLIA22D1062782 Issued in MA
Legal business name
EMAYA HEALTH INC.
Practice address
1077 W Boylston St
Worcester, MA 01606-1144
Phone
(508) 459-0030
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Dr. John O Peri-Okonny, MD
Title
Executive Director
Phone
(508) 459-0030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Clinical Medical Laboratory 291U00000X CLIA22D1062782 MA Primary

Addresses

Primary practice location

1077 W Boylston St
Worcester, MA 01606-1144

Mailing address

1077 W Boylston St
Worcester, MA 01606-1144
Phone (508) 459-0030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1710214853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061144",
            "telephone_number": "508-459-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061144",
            "telephone_number": "508-459-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAYA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "PERI-OKONNY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-459-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "CLIA22D1062782",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 10, 2009; 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.