NPIMap

Organization Active NPI

Commonwealth Care Alliance, Inc.

  • Exclusive Provider Organization
  • Boston, MA
National Provider Identifier
1851797542
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
COMMONWEALTH CARE ALLIANCE, INC.
Practice address
30 Winter St
Boston, MA 02108-4720
Phone
(617) 426-0600
Fax
(617) 517-7738
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Ms. Nancy J Roach
Title
Chief Operating Officer
Phone
(617) 426-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

30 Winter St
Boston, MA 02108-4720

Mailing address

30 Winter St
Boston, MA 02108-4720
Phone (617) 426-0600

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Care Alliance7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

30 Winter St
Boston, MA 02108
Phone (617) 482-5292

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1851797542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WINTER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084720",
            "telephone_number": "617-426-0600",
            "fax_number": "617-517-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WINTER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084720",
            "telephone_number": "617-426-0600",
            "fax_number": "617-517-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CARE ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "617-426-0600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.