NPIMap

Organization Active NPI

Longfellow Primary Care, PC

  • Infectious Disease Physician
  • Cambridge, MA
National Provider Identifier
1902001886
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
70493 Issued in MA
Legal business name
LONGFELLOW PRIMARY CARE, PC
Practice address
625 Mount Auburn St
Suite 101a
Cambridge, MA 02138-4555
Phone
(617) 492-4545
Fax
(617) 492-4559
NPI assigned
Jun 19, 2007
Last updated
Mar 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Rachel Haft, M.D.NPI 1720079536
Title
President
Phone
(617) 492-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 70493 MA Primary

Addresses

Primary practice location

625 Mount Auburn St
Suite 101a
Cambridge, MA 02138-4555

Mailing address

625 Mount Auburn St
Suite 101a
Cambridge, MA 02138-4555
Phone (617) 492-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000281 MA Part B Supplier - Clinic/Group Practice 4880782929 Receives reassigned benefits from 2 practitioners
Practice locations: Cambridge, MA

National Provider Directory

National Provider Directory

Locations

625 Mount Auburn St
Cambridge, MA 02138
Phone (617) 354-5658

625 Mount Auburn St
Ste 101A
Cambridge, MA 02138
Phone (617) 492-4545

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1902001886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MOUNT AUBURN ST",
            "address_2": "SUITE 101A",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384555",
            "telephone_number": "617-492-4545",
            "fax_number": "617-492-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MOUNT AUBURN ST",
            "address_2": "SUITE 101A",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384555",
            "telephone_number": "617-492-4545",
            "fax_number": "617-492-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGFELLOW PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "HAFT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-492-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "70493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.