Organization Active NPI

Town of Wellesley

  • Public Health or Welfare Agency
  • Wellesley, MA
National Provider Identifier
1881780856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TOWN OF WELLESLEY
Practice address
90 Washington St
Wellesley, MA 02481-3238
Phone
(781) 235-0135
Fax
(781) 235-4685
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary Suresh, RN, BSN, MPH
Title
Acting Director
Phone
(781) 235-0135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

90 Washington St
Wellesley, MA 02481-3238

Mailing address

90 Washington St
Wellesley, MA 02481-3238
Phone (781) 235-0135

Other names 1

  • Wellesley Health Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824000752 MA Part B Supplier - Public Health/Welfare Agency 1557335627 Practice locations: Wellesley, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of Wellesley2 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.

Locations

90 Washington St
Wellesley, MA 02481
Phone (781) 235-0135

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881780856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813238",
            "telephone_number": "781-235-0135",
            "fax_number": "781-235-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813238",
            "telephone_number": "781-235-0135",
            "fax_number": "781-235-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WELLESLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SURESH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ACTING DIRECTOR",
        "authorized_official_telephone_number": "781-235-0135",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellesley Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.