NPIMap

Organization Active NPI

Commonwealth Care Alliance

  • Health Maintenance Organization
  • Charlestown, MA
National Provider Identifier
1922460104
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
164402 Issued in MA
Legal business name
COMMONWEALTH CARE ALLIANCE
Practice address
529 Main St
Suite 222
Charlestown, MA 02129-1125
Phone
(617) 600-3195
Fax
(617) 924-1207
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Ms. Janet Theresa Norton, RN, CMC, CPC
Title
Director Clinical Documetation Team
Phone
(617) 600-3195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 164402 MA Primary

Addresses

Primary practice location

529 Main St
Suite 222
Charlestown, MA 02129-1125

Mailing address

529 Main St
Suite 222
Charlestown, MA 02129-1125
Phone (617) 600-3195

Other identifiers 2

IdentifierTypeStateIssuer
163WA2000XMedicaidMA
163WC1500XMedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Care Alliance7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

529 Main St
Ste 222
Charlestown, MA 02129
Phone (617) 267-0900

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1922460104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 MAIN ST",
            "address_2": "SUITE 222",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291125",
            "telephone_number": "617-600-3195",
            "fax_number": "617-924-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MAIN ST",
            "address_2": "SUITE 222",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291125",
            "telephone_number": "617-600-3195",
            "fax_number": "617-924-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR CLINICAL DOCUMETATION TEAM",
        "authorized_official_telephone_number": "617-600-3195",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CMC, CPC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MA",
            "license": "164402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WA2000X",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WC1500X",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.