Organization Active NPI

Caritas Physician Network

  • Oncology Clinic/Center
  • Brighton, MA
National Provider Identifier
1851584189
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
98556 Issued in MA
Legal business name
CARITAS PHYSICIAN NETWORK
Practice address
77 Warren St
Caritas Physician Network
Brighton, MA 02135-3601
Phone
(617) 789-2317
Fax
(617) 562-5488
NPI assigned
Aug 21, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Dr. Paul J Hesketh, MD
Title
Chief, Hematology-Oncology
Phone
(617) 789-2317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 98556 MA Primary

Addresses

Primary practice location

77 Warren St
Caritas Physician Network
Brighton, MA 02135-3601

Mailing address

77 Warren St
Caritas Physicia Network
Brighton, MA 02135-3601

Other identifiers 2

IdentifierTypeStateIssuer
0324141MedicaidMA
NP2436OtherMABC/BS

National Provider Directory

National Provider Directory
Tax ID family
Seton Neurosurgical Ass6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1851584189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "address_2": "CARITAS PHYSICIA NETWORK",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "fax_number": "617-562-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "address_2": "CARITAS PHYSICIAN NETWORK",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-789-2317",
            "fax_number": "617-562-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "HESKETH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF, HEMATOLOGY-ONCOLOGY",
        "authorized_official_telephone_number": "617-789-2317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "MA",
            "license": "98556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324141",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "NP2436",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.