Organization Active NPI

Center for Human Genetics, Inc

  • Clinical Medical Laboratory
  • Cambridge, MA
National Provider Identifier
1821153156
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2424 Issued in MA
Legal business name
CENTER FOR HUMAN GENETICS, INC
Practice address
840 Memorial Dr.
Suite 101
Cambridge, MA 02139
Phone
(617) 492-7083
Fax
(617) 492-7092
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Dr. Aubrey Milunsky, MDNPI 1558456392
Title
Co-Director
Phone
(617) 492-7083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2424 MA Primary

Addresses

Primary practice location

840 Memorial Dr.
Suite 101
Cambridge, MA 02139

Mailing address

840 Memorial Dr.
Suite 101
Cambridge, MA 02139
Phone (617) 492-7083

Other identifiers 3

IdentifierTypeStateIssuer
0805181MedicaidMA
01336272MedicaidNY
30006321MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091109000234 MA Part B Supplier - Independent Clinical Laboratory 2365580545 Practice locations: Cambridge, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0650242Center for Human Genetics Inc840 Memorial Drive, Cambridge, MA 02139AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

700 Albany St
#408
Boston, MA 02118
Phone (617) 638-7083

840 Memorial Dr
Ste 101
Cambridge, MA 02139
Phone (617) 492-7083

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1821153156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MEMORIAL DR.",
            "address_2": "SUITE 101",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-492-7083",
            "fax_number": "617-492-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MEMORIAL DR.",
            "address_2": "SUITE 101",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-492-7083",
            "fax_number": "617-492-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HUMAN GENETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "MILUNSKY",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "617-492-7083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805181",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01336272",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30006321",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.