NPIMap

Organization Active NPI

Beith Isreal Deaconess Medical Center

  • Medical Specialty Clinic/Center
  • Boston, MA
National Provider Identifier
1730123019
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
191384 Issued in MA
Legal business name
BEITH ISREAL DEACONESS MEDICAL CENTER
Practice address
110 Francis St
Suite 3-B
Boston, MA 02215-5501
Phone
(617) 632-7575
NPI assigned
Jun 16, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ligaya Castillo
Title
NP
Phone
(617) 632-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 191384 MA Primary

Addresses

Primary practice location

110 Francis St
Suite 3-B
Boston, MA 02215-5501

Mailing address

94 Paul St
Dedham, MA 02026-3810

National Provider Directory

National Provider Directory
Tax ID family
Beth Israel Hospital18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730123019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 PAUL ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020263810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRANCIS ST",
            "address_2": "SUITE 3-B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155501",
            "telephone_number": "617-632-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEITH ISREAL DEACONESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "LIGAYA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "617-632-7575"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "191384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.