NPIMap

Organization Active NPI

Mothers' Milk Bank Northeast, Inc.

  • Specialist
  • Newton Upper Falls, MA
National Provider Identifier
1780917906
Registry record updated Mar 8, 2021
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MOTHERS' MILK BANK NORTHEAST, INC.
Practice address
377 Elliot St
Newton Upper Falls, MA 02464-1126
Phone
(617) 527-6263
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Dr. Naomi Bar-Yam
Title
Executive Director
Phone
(617) 527-6263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

377 Elliot St
Newton Upper Falls, MA 02464-1126

Mailing address

377 Elliot St
Newton Upper Falls, MA 02464-1126
Phone (617) 527-6263

Other names 1

  • MMBNE, Inc. Other name

National Provider Directory

National Provider Directory

Locations

377 Elliot St
Newton Upper Falls, MA 02464
Phone (617) 527-6263

225 Nevada St
Newtonville, MA 02460

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1780917906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 ELLIOT ST",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641126",
            "telephone_number": "617-527-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 ELLIOT ST",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641126",
            "telephone_number": "617-527-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERS' MILK BANK NORTHEAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "BAR-YAM",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-527-6263",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMBNE, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newton Upper Falls, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.