Somerville-Cambridge Elder Services, Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1926 Issued in MA

Legal business name

SOMERVILLE-CAMBRIDGE ELDER SERVICES, INC

Practice address

61 Medford St
2ND Floor
Somerville, MA 02143-3421

Phone

(617) 628-2601

NPI assigned

Dec 27, 2016

Organization subpart

No

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

Authorized official

Name

Donna Vaskelis

Title

Cfo

Phone

(617) 628-2601

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Fowler, LICSW

  • Social Worker
  • Somerville, MA
  • NPI 1750869848
  NPD (past)

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1891230058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST",
            "address_2": "2ND FLOOR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433421",
            "telephone_number": "617-628-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST",
            "address_2": "2ND FLOOR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433421",
            "telephone_number": "617-628-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVILLE-CAMBRIDGE ELDER SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "VASKELIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-628-2601"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "1926",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "1926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somerville Pediatric Dentistry and Orthodontics
• Somerville Pediatric Dentistry PC
• Somerville-Cambridge Elder Services
• Somerville-Cambridge Elder Services Incorporated
• Somerville-Cambridge Elder Services, Inc
• Tamara Tereza Soraluz
• Deborah Sosin, LICSW
• Yolanda Soto
• Nicole Soubosky
• Jasen Sousa

• Registered Dietitian in Somerville, MA
• Providers in Somerville, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.