Commonwealth Medicine

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COMMONWEALTH MEDICINE

Practice address

55 Lake Ave N
Worcester, MA 01655-0002

Phone

(617) 886-8264

NPI assigned

Jun 11, 2019

Organization subpart

Yes

Parent organization

UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOLAs reported in NPPES

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

Authorized official

Name

Rosemarie Bonaventura

Title

Deputy Director

Phone

(617) 886-8013

Specialties & licenses 2

Addresses

Other names 1

• CWM - Vaccine Program Doing business as

Part of

University Health Services University of Massachusetts Boston

Locations

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.

• University of Massachusetts Medical School

  • Case Manager/Care Coordinator
  • Shrewsbury, MA
  • NPI 1417174855
  NPPES parent name

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1770142945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 MAIN ST FL 3",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291125",
            "telephone_number": "617-886-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "617-886-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BONAVENTURA",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "617-886-8013"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CWM - Vaccine Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige D Comerford
• Comfort Stars Home Health Care Services LLC
• Meaghan Comisky
• Common Park Dental
• Commonwealth Dermatology PLLC
• Commonwealth of Massachusetts
• Commonwealth Periodontics
• Community Arms Home Healthcare and Behavioral Services LLC
• Community Counseling Center PLLC
• Community First Adult Foster Care

• Public Health or Welfare Agency in Worcester, MA
• Providers in Worcester, MA by specialty
• Public Health or Welfare Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.