The New England Center for Osteopathy, PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

235587 Issued in MA

Legal business name

THE NEW ENGLAND CENTER FOR OSTEOPATHY, PLLC

Practice address

2 South St
Suite 30
Pittsfield, MA 01201-6294

Phone

(413) 442-5100

Fax

(413) 442-5102

NPI assigned

Sep 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Todd Robert Waldorf, D.O.NPI 1770585101

Title

Owner

Phone

(518) 526-9996

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd R Waldorf, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Crown Point, NY
  • NPI 1770585101
  NPD (past) Authorized official

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1801129242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH ST",
            "address_2": "SUITE 30",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016294",
            "telephone_number": "413-442-5100",
            "fax_number": "413-442-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SOUTH ST",
            "address_2": "SUITE 30",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016294",
            "telephone_number": "413-442-5100",
            "fax_number": "413-442-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW ENGLAND CENTER FOR OSTEOPATHY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "WALDORF",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-526-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MA",
            "license": "235587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Sports Medicine (Family Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.