NPIMap

Organization Active NPI

Tufts Medical Center

  • General Acute Care Hospital
  • Revere, MA
National Provider Identifier
1770739971
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
237109 Issued in MA
Legal business name
TUFTS MEDICAL CENTER
Practice address
106A Crest Ave
Revere, MA 02151-4117
Phone
(734) 377-1285
NPI assigned
Aug 7, 2008
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Timothy Rogers Moore, M.D.
Title
Resident
Phone
(734) 377-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 237109 MA Primary

Addresses

Primary practice location

106A Crest Ave
Revere, MA 02151-4117

Mailing address

106A Crest Ave
Revere, MA 02151-4117

Other names 1

  • New England Medical Center Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://fhir-myrecord.cerner.com/dstu2

National Provider Directory

National Provider Directory
Tax ID family
Professional Outpatient20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1770739971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106A CREST AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106A CREST AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514117",
            "telephone_number": "734-377-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUFTS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "734-377-1285",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "237109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir-myrecord.cerner.com/dstu2",
            "affiliation": "N",
            "address_1": "106A Crest Ave",
            "city": "Revere",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021514117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New England Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "New England Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.