Organization Active NPI

Kiosk Inc

  • Clinic/Center
  • New Bedford, MA
National Provider Identifier
1851434922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5507219 Issued in MA
Legal business name
KIOSK INC
Practice address
251 Walnut St
New Bedford, MA 02740-4964
Phone
(508) 994-3120
Fax
(508) 990-1346
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph Disanti
Title
Administrator
Phone
(508) 994-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5507219 MA Primary

Addresses

Primary practice location

251 Walnut St
New Bedford, MA 02740-4964

Mailing address

251 Walnut St
New Bedford, MA 02740-4964
Phone (508) 994-3120

Other identifiers 1

IdentifierTypeStateIssuer
5507219MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Kiosk Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851434922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WALNUT ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404964",
            "telephone_number": "508-994-3120",
            "fax_number": "508-990-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WALNUT ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404964",
            "telephone_number": "508-994-3120",
            "fax_number": "508-990-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIOSK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISANTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-994-3120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "5507219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5507219",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.