Roxbury Preparatory

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ROXBURY PREPARATORY

Practice address

120 Fisher Ave
Roxbury Crossing, MA 02120-3320

Phone

(781) 986-1785

Fax

(781) 961-6999

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nancy Reilly

Title

Revenue Administrator

Phone

(781) 986-1785

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1861519845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023680540",
            "telephone_number": "781-986-1785",
            "fax_number": "781-961-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FISHER AVE",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021203320",
            "telephone_number": "781-986-1785",
            "fax_number": "781-961-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY PREPARATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "REVENUE ADMINISTRATOR",
        "authorized_official_telephone_number": "781-986-1785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955926",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muralidharan Thiruvenkadam Reddy, MD
• Joan Yvonne Reede, MD
• Janet Wilson Rich-Edwards, PH. D.
• Robert Banco, MD PC
• Valerie L Robertson, FNP-BC
• Michael Ruhoy, MD
• Amin F Sabra, MD
• Jennifer P Samatis, OTA
• Lauren Santucci, PH.D.
• Rebecca P Schneiderman, PA

• Local Education Agency (LEA) in Roxbury Crossing, MA
• Providers in Roxbury Crossing, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.