Organization Active NPI

Newton Wellesley Ambulatory Services

Doing business as Newton-Wellesley Sports Medicine DME

  • Durable Medical Equipment & Medical Supplies
  • Wellesley, MA
National Provider Identifier
1740905876
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEWTON WELLESLEY AMBULATORY SERVICES
Doing business as
Newton-Wellesley Sports Medicine DME
Practice address
978 Worcester St
Wellesley, MA 02482-3709
Phone
(617) 219-1280
Fax
(617) 219-1281
NPI assigned
Oct 11, 2022
Organization subpart
Yes
Parent organization
MASS GENERAL BRIGHAM INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Vincent McDermott
Title
Senior VP Finance
Phone
(617) 243-6381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

978 Worcester St
Wellesley, MA 02482-3709

Mailing address

978 Worcester St
Wellesley, MA 02482-3709
Phone (617) 219-1280

Other names 1

  • Newton-Wellesley Sports Medicine DME Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.nwh.org/orthopedics/sports-medicine/about-us Health Information Exchange (HIE) Newton Wellesley Hospital
CONNECT URL https://www.nwh.org/orthopedics/sports-medicine/about-us Direct

National Provider Directory

National Provider Directory
Tax ID family
Newtown Wellesley Hospi3 organizations share this tax ID, including this one
Part of
Newton Wellesley Ambula

Other organizations with this tax ID 2

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

Locations

2345 Commonwealth Ave
Bldg C
Auburndale, MA 02466
Phone (617) 243-5699

307 W Central St
#1
Natick, MA 01760
Phone (508) 879-7509

1450 Highland Ave
Ste 2
Needham, MA 02492
Phone (781) 444-3083

2014 Washington St
Ste 764
Newton, MA 02462
Phone (617) 597-1426

9 Hope Ave
Ste 150
Waltham, MA 02453
Phone (617) 243-5590

173 Worcester St
Wellesley Hls, MA 02481
Phone (781) 235-7900

45 Colpitts Rd
Weston, MA 02493
Phone (781) 642-8877

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1740905876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823709",
            "telephone_number": "617-219-1280",
            "fax_number": "617-219-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823709",
            "telephone_number": "617-219-1280",
            "fax_number": "617-219-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON WELLESLEY AMBULATORY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASS GENERAL BRIGHAM INCORPORATED",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "617-243-6381"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.nwh.org/orthopedics/sports-medicine/about-us",
            "affiliation": "Y",
            "endpointDescription": "clinic URL",
            "affiliationName": "Newton Wellesley Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.nwh.org/orthopedics/sports-medicine/about-us",
            "address_1": "2014 Washington St",
            "city": "Newton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024621607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.nwh.org/orthopedics/sports-medicine/about-us",
            "affiliation": "N",
            "endpointDescription": "internal website for NWH Sports Med",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.nwh.org/orthopedics/sports-medicine/about-us",
            "address_1": "978 Worcester St",
            "city": "Wellesley",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024823709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Newton-Wellesley Sports Medicine DME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newton-Wellesley Sports Medicine DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.