NPIMap

Organization Active NPI

Umass Memorial Medical Group, Inc.

  • Ambulatory Fertility Facility
  • Worcester, MA
National Provider Identifier
1861038754
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
Legal business name
UMASS MEMORIAL MEDICAL GROUP, INC.
Practice address
33 Kendall Street
Levine 2
Worcester, MA 01605-2726
Phone
(508) 334-6910
NPI assigned
Nov 26, 2019
Last updated
Nov 26, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
UMASS MEMORIAL MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Debra M Wooldridge
Title
Supervisor, Provider Enrollment
Phone
(508) 334-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X Primary

Addresses

Primary practice location

33 Kendall Street
Levine 2
Worcester, MA 01605-2726

Mailing address

281 Lincoln Street
Provider Enrollment
Worcester, MA 01605-2138
Phone (508) 334-8890

Other names 1

  • UMss Memorial IVF Center Other name

National Provider Directory

National Provider Directory
Tax ID family
U-Mass Group Practice6 organizations share this tax ID, including this one
Part of
U-Mass Group Practice

Other organizations with this tax ID 5

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

Locations

33 Kendall St
#2
Worcester, MA 01605
Phone (508) 334-6910

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1861038754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 LINCOLN STREET",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052138",
            "telephone_number": "508-334-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 KENDALL STREET",
            "address_2": "LEVINE 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052726",
            "telephone_number": "508-334-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UMASS MEMORIAL MEDICAL GROUP, INC.",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERVISOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "508-334-8890"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMss Memorial IVF Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.