Organization Active NPI

City of Watertown

  • Public Health or Welfare Agency
  • Watertown, MA
National Provider Identifier
1740365386
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CITY OF WATERTOWN
Practice address
149 Main St
Board of Health
Watertown, MA 02472-4410
Phone
(617) 972-6446
Fax
(617) 972-6499
NPI assigned
Oct 25, 2006
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Abbey Myers, REHS/RS
Title
Director of Public Health
Phone
(617) 972-6446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X MA Primary

Addresses

Primary practice location

149 Main St
Board of Health
Watertown, MA 02472-4410

Mailing address

149 Main Street
Board of Health
Watertown, MA 02472-4410
Phone (617) 972-6446

Other names 1

  • Board of Health Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000297 MA Part B Supplier - Mass Immunization (Roster Biller Only) 9032171020 Practice locations: Watertown, 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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1740365386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MAIN STREET",
            "address_2": "BOARD OF HEALTH",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724410",
            "telephone_number": "617-972-6446",
            "fax_number": "617-972-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MAIN ST",
            "address_2": "BOARD OF HEALTH",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724410",
            "telephone_number": "617-972-6446",
            "fax_number": "617-972-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WATERTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "617-972-6446",
        "authorized_official_credential": "REHS/RS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Board of Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.