Organization Active NPI

Beth Israel Deaconess Medical Center

  • General Acute Care Hospital
  • Boston, MA
National Provider Identifier
1902063563
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BETH ISRAEL DEACONESS MEDICAL CENTER
Practice address
400 Brookline Ave
Apartment 12D
Boston, MA 02215-5408
Phone
(626) 203-1917
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Eileen Reynolds, MD
Title
Program Director
Phone
(617) 667-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MA Primary

Addresses

Primary practice location

400 Brookline Ave
Apartment 12D
Boston, MA 02215-5408

Mailing address

400 Brookline Ave
Apartment 12D
Boston, MA 02215-5408
Phone (626) 203-1917

National Provider Directory

National Provider Directory
Tax ID family
Beth Israel Hosp Home C18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1902063563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROOKLINE AVE",
            "address_2": "APARTMENT 12D",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155408",
            "telephone_number": "626-203-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROOKLINE AVE",
            "address_2": "APARTMENT 12D",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155408",
            "telephone_number": "626-203-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL DEACONESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "617-667-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.