Active NPI
City of Medford
- Local Education Agency (LEA)
- Medford, MA
National Provider Identifier
1790815330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1951718 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- City of Medford
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Medford, MA
- NPI 1396967816
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.