Organization Active NPI

Cambridge Fire Department

  • Land Ambulance
  • Cambridge, MA
National Provider Identifier
1750592911
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3219 Issued in MA
Legal business name
CAMBRIDGE FIRE DEPARTMENT
Practice address
491 Broadway
Cambridge, MA 02138-3824
Phone
(617) 349-4974
Fax
(617) 349-4999
NPI assigned
May 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gerald R Reardon
Title
Chief of Department
Phone
(617) 349-4974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3219 MA Primary

Addresses

Primary practice location

491 Broadway
Cambridge, MA 02138-3824

Mailing address

491 Broadway
Cambridge, MA 02138-3824
Phone (617) 349-4974

Other identifiers 1

IdentifierTypeStateIssuer
1709291MedicaidMA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2244480Cambridge Fire Department491 Broadway, Cambridge, MA 02138Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cambridge Fire Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

491 Broadway
Cambridge, MA 02138
Phone (617) 349-4974

NPI Registry JSON

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750592911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383824",
            "telephone_number": "617-349-4974",
            "fax_number": "617-349-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383824",
            "telephone_number": "617-349-4974",
            "fax_number": "617-349-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF OF DEPARTMENT",
        "authorized_official_telephone_number": "617-349-4974"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709291",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.