Organization Active NPI

City of Medford

  • Local Education Agency (LEA)
  • Medford, MA
National Provider Identifier
1790815330
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CITY OF MEDFORD
Practice address
489 Winthrop St
Medford, MA 02155-2349
Phone
(781) 393-2442
Fax
(781) 395-1468
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Roy Belson
Title
Superintendent
Phone
(781) 393-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X MA Primary

Addresses

Primary practice location

489 Winthrop St
Medford, MA 02155-2349

Mailing address

489 Winthrop St
Medford, MA 02155-2349

Other identifiers 1

IdentifierTypeStateIssuer
1951718MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
City of Medford2 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

489 Winthrop St
Medford, MA 02155
Phone (781) 393-2101

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1790815330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WINTHROP ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021552349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 WINTHROP ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021552349",
            "telephone_number": "781-393-2442",
            "fax_number": "781-395-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MEDFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BELSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "781-393-2442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951718",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.