Bay State Medical Equipment Distributors

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

BAY STATE MEDICAL EQUIPMENT DISTRIBUTORS

Practice address

681 N Main St
Brockton, MA 02301-2407

Phone

(508) 427-5772

Fax

(508) 427-6362

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles Jones Jr., CFTS

Title

President/Partner

Phone

(508) 427-5772

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1831293208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 N MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012407",
            "telephone_number": "508-427-5772",
            "fax_number": "508-427-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 N MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012407",
            "telephone_number": "508-427-5772",
            "fax_number": "508-427-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STATE MEDICAL EQUIPMENT DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "508-427-5772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CFTS"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOS. MED. HEALTHNET PLAN",
            "identifier": "000000033555",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR WHOLE HEALTH",
            "identifier": "004130",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "95531801",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542214",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH CARE ALLIANCE",
            "identifier": "1831293208",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0039743",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bay State Medical Associates, PC
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• Judith Ann Bayog, PH.D.
• Baypointe Nursing Home Inc
• Baypointe Nursing Home Inc
• Baypointe Rehab Center, LLC

• Parenteral & Enteral Nutrition Supplies (DME) in Brockton, MA
• Providers in Brockton, MA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.