Organization Active NPI

Roxbury Multi-Service Center

  • Community/Behavioral Health Agency
  • Dorchester, MA
National Provider Identifier
1861826158
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
S20630711 Issued in MA
Legal business name
ROXBURY MULTI-SERVICE CENTER
Practice address
317 Blue Hill Ave
Dorchester, MA 02121-4302
Phone
(617) 427-4470
NPI assigned
Aug 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mr. Nenkerwon Troh
Title
Community Support Provider
Phone
(857) 919-9535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X S20630711 MA Primary

Addresses

Primary practice location

317 Blue Hill Ave
Dorchester, MA 02121-4302

Mailing address

317 Blue Hill Ave
Dorchester, MA 02121-4302
Phone (617) 427-4470

National Provider Directory

National Provider Directory
Tax ID family
Roxbury Multi-Service Center2 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": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1861826158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021214302",
            "telephone_number": "617-427-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021214302",
            "telephone_number": "617-427-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY MULTI-SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "TROH",
        "authorized_official_first_name": "NENKERWON",
        "authorized_official_title_or_position": "COMMUNITY SUPPORT  PROVIDER",
        "authorized_official_telephone_number": "857-919-9535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "S20630711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.