NPIMap

Dana-Farber Cancer Institute, Inc.

Organization Active NPI General Acute Care Hospital · Boston, MA

NPI 1851333686 · NPPES record last updated Jun 13, 2022

Key facts

NPI
1851333686
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
DANA-FARBER CANCER INSTITUTE, INC.
Practice address
450 Brookline Ave
Boston, MA 02215-5418
Phone
(617) 632-3000
NPI assigned
Jun 13, 2006
Organization subpart
No

Authorized official

Name
Mr. Paul Dembinski
Title
Sr. Director of PFS
Phone
(617) 632-3935

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 1,256

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

View all 1,256

Affiliated clinicians 1,347

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,347

Medicare participation

Medicare fee-for-service enrollment
Enrolled (4 enrollments) in MA, NH

Hospital certification: CCN 220162

Legal name
DANA-FARBER CANCER INSTITUTE, INC.
Doing business as
DANA-FARBER CANCER INSTITUTE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 4, 1976
Last certification
Aug 18, 1993
Beds
27
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Nov 20, 1951 in MA
Enrollment address
450 Brookline Ave
Boston, MA 22155450
Main/Primary Hospital Location
Hospital subgroups
Acute care, Other

All disclosed owners & managing parties 71

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hise O Gibson
Individual 		Corporate Director
Governing Trustee		 Jan 21, 2022
Bradley Lucas
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2002
Tracey L McCain
Individual 		Corporate Director
Governing Trustee		 Jan 26, 2016
Nancy Lotane
Individual 		Corporate Director Feb 3, 2020
Alison P Jaffe
Individual 		Corporate Director
Governing Trustee		 Feb 2, 2010
Esta E Stecher
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2018
Lisa Ferraro Martino
Individual 		Corporate Director
Governing Trustee		 Jan 31, 2022
Thomas B O'Rourke
Individual 		Corporate Director
Governing Trustee		 Feb 2, 2026
Benjamin L Ebert
Individual 		Corporate Officer
President and Ceo		 Oct 1, 2024
W-2 Managing Employee
President and Ceo		 Oct 1, 2024
Joshua Bekenstein
Individual 		Corporate Director
Board Chair & Gov Trustee		 Jan 25, 2011
Paul G Dembinski
Individual 		W-2 Managing Employee
Senior Director of PFS		 May 1, 2017
Monica Chandra
Individual 		Corporate Director
Governing Trustee		 Feb 12, 2015
Andrew S Janower
Individual 		Corporate Director
Governing Trustee		 Feb 12, 2015
Fatima E Penrose
Individual 		Corporate Director Feb 3, 2020
Robert Kiely Smith
Individual 		W-2 Managing Employee
Director of Patient Financial SVCS		 Feb 13, 2017
Ronald S Sullivan
Individual 		Corporate Director
Governing Trustee		 Jan 31, 2012
Nancy Gibson
Individual 		Corporate Director
Governing Trustee		 Jan 25, 2000
Michael G Trotsky
Individual 		Corporate Director Feb 3, 2020
Jane E Brock-Wilson
Individual 		Corporate Director
Governing Trustee		 Jan 26, 2016
Steven P Koppel
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2008
William C Hahn
Individual 		Corporate Officer
Chief Operating Officer		 Nov 2, 2020
Jose Aguerrevere
Individual 		Corporate Director
Governing Trustee		 Jan 31, 2022
Peter R Defeo
Individual 		Corporate Director
Governing Trustee		 Feb 2, 2026
Beth F Terrana
Individual 		Corporate Director
Governing Trustee		 Jan 30, 2007
Peter Palandjian
Individual 		Corporate Director
Governing Trustee		 Jan 23, 2001
Eric K Miller
Individual 		Corporate Director
Governing Trustee		 Jan 28, 2019
Jodi Walker
Individual 		Corporate Director Feb 3, 2020
Andrew T Kaplan
Individual 		Corporate Director
Governing Trustee		 Jan 28, 2019
Karen a Daley
Individual 		Corporate Director
Governing Trustee		 Feb 12, 2015
Michael L Reney
Individual 		Corporate Officer
Senior VP & Cfo		 Dec 1, 2015
W-2 Managing Employee
Senior VP & Cfo		 Dec 1, 2015
Jennifer M Perini
Individual 		Corporate Director
Governing Trustee		 Jan 31, 2012
William F Santis
Individual 		Corporate Director Jan 27, 2025
Gary Prado
Individual 		Corporate Director
Governing Trustee		 Jan 30, 2023
Kevin G Dasilva
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2013
Amy L Kyle
Individual 		Corporate Director
Governing Trustee		 Jan 28, 2014
Frank Laukien
Individual 		Corporate Director
Governing Trustee		 Jul 31, 2023
Anne M Finucane
Individual 		Corporate Director
Gover		 May 4, 2026
Lori Whelan
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2018
Kimberly Sherman Stamler
Individual 		Corporate Director Jan 31, 2022
Robert L. Reynolds
Individual 		Corporate Director
Governing Trustee		 Jan 30, 2007
Karen L Packman
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2013
Richard Lubin
Individual 		Corporate Director
Governing Trustee		 Jan 19, 1993
Afsaneh Beschloss
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2018
Meg Reynolds
Individual 		Corporate Director
Governing Trustee		 Jan 31, 2022
Louise Julian-Svanberg
Individual 		Corporate Director
Governing Trustee		 Oct 21, 2019
Sandra Stratford
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2013
Paul J Marcus
Individual 		Corporate Director
Governing Trustee		 Jan 28, 2014
Harvey Berger
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2018
Jessica Knez Dulac
Individual 		Corporate Director
Governing Trustee		 Jan 31, 2022
Payal a Divakaran
Individual 		Corporate Director
Governing Trustee		 Jan 27, 2025
Levi a Garraway
Individual 		Corporate Director
Governing Trustee		 Jul 31, 2023
Kate Gulliver
Individual 		Corporate Director
Governing Trustee		 Jan 31, 2022
Kenneth Lochiatto
Individual 		Corporate Director
Governing Trustee		 Jan 27, 2025
Susan M Poduska
Individual 		Corporate Director
Governing Trustee		 Jan 23, 2001
Brian J Knez
Individual 		Corporate Director
Governing Trustee		 Jan 28, 2003
Elizabeth C Rappaport
Individual 		Corporate Director
Governing Trustee		 Jan 27, 2025
Robert Stansky
Individual 		Corporate Director
Governing Trustee		 Jan 28, 2003
Susan Alexander
Individual 		Corporate Director
Governing Trustee		 Jan 28, 2014
Jill a Greenthal
Individual 		Corporate Director
Governing Trustee		 Feb 12, 2015
Elizabeth Clymer
Individual 		Corporate Director
Governing Trustee		 Jan 30, 2023
Doug Grip
Individual 		Corporate Director
Governing Trustee		 Jan 31, 2022
James McCann
Individual 		Corporate Director
Governing Trustee		 Feb 1, 2021
Demond Martin
Individual 		Corporate Director
Governing Trustee		 Feb 12, 2015
Jane Jamieson
Individual 		Corporate Director
Governing Trustee		 Jan 25, 2000
Laura J Sen
Individual 		Corporate Director
Governing Trustee		 Jan 25, 2011
Michael Eisenson
Individual 		Corporate Director
Governing Trustee		 Feb 1, 2021
Timothy M Cohen
Individual 		Corporate Director
Governing Trustee		 Feb 3, 2020
Amy S Berylson
Individual 		Corporate Director
Governing Trustee		 Jan 25, 2011
Christopher J Hadley
Individual 		Corporate Director
Governing Trustee		 Jan 29, 2013
Frederica M Williams
Individual 		Corporate Director
Governing Trustee		 Jan 31, 2006
Wycliffe Grousbeck
Individual 		Corporate Director
Governing Trustee		 Feb 2, 2026

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030425000022 MA Part a Provider - Hospital 9133038904 Practice locations: Attleboro, MA; Weymouth, MA; South Weymouth, MA; Milford, MA; Methuen, MA; Londonderry, NH; Foxborough, MA; Chestnut Hill, MA…
O20040223000142 MA Part B Supplier - Clinic/Group Practice 9133038904 Receives reassigned benefits from 729 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boston, MA; Brighton, MA; Milford, MA; South Weymouth, MA
O20040223000228 MA Part B Supplier - Clinic/Group Practice 9133038904 Receives reassigned benefits from 1,060 practitioners
Practice locations: Weymouth, MA; South Weymouth, MA; Milford, MA; Methuen, MA; Foxborough, MA; Brighton, MA; Boston, MA; Attleboro, MA…
O20090114000288 NH Part B Supplier - Clinic/Group Practice 9133038904 Receives reassigned benefits from 8 practitioners
Practice locations: Londonderry, NH

National Provider Directory

Locations

10 Brookline Pl
Ste 4
Brookline, MA 02445

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

5 Branch St
Fl 3
Methuen, MA 01844

101 Columbian St
Fl 3
Weymouth, MA 02190
Phone (781) 624-4800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MA Yes

Addresses

Primary practice location

450 Brookline Ave
Boston, MA 02215-5418

Mailing address

PO Box 414744
Boston, MA 02241-4744
Phone (617) 632-3000

Other identifiers

IdentifierTypeStateIssuer
1202383MedicaidMA
1002481OtherMDOUTPATIENT

Other names

  • Dana-Farber Cancer Institute Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2022.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1851333686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414744",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414744",
            "telephone_number": "617-632-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "617-632-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA-FARBER CANCER INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "DEMBINSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PFS",
        "authorized_official_telephone_number": "617-632-3935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1202383",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT",
            "identifier": "1002481",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dana-Farber Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dana-Farber Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

All providers in Boston, MA · General Acute Care Hospital in Massachusetts

Sources for this page

Verify at the official NPI Registry.