Organization Active NPI

Rainbow Adhc of Needham Riverside LLC

  • Clinic/Center
  • Needham, MA
National Provider Identifier
1902509763
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RAINBOW ADHC OF NEEDHAM RIVERSIDE LLC
Practice address
185 2ND Ave
Needham, MA 02494-2810
Phone
(301) 370-4714
Fax
(301) 560-8270
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Victoria Vinokur
Title
Member
Phone
(301) 370-4714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

185 2ND Ave
Needham, MA 02494-2810

Mailing address

375 Totten Pond Rd Ste 100
Waltham, MA 02451-2026
Phone (301) 370-4714

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1902509763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 TOTTEN POND RD STE 100",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024512026",
            "telephone_number": "301-370-4714",
            "fax_number": "301-560-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 2ND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942810",
            "telephone_number": "301-370-4714",
            "fax_number": "301-560-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ADHC OF NEEDHAM RIVERSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "VINOKUR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-370-4714"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.