City of Revere

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CITY OF REVERE

Doing business as

Health Department

Practice address

249R Broadway
Revere, MA 02151

Phone

(781) 286-8176

Fax

(781) 485-2795

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Catinazzo

Title

Director of Inspectional Services

Phone

(781) 286-8176

Specialties & licenses 1

Addresses

Other names 1

• Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

City of Revere2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• City of Revere

  • Local Education Agency (LEA)
  • Revere, MA
  • NPI 1215067871
  NPD tax ID

Locations

Practitioners 1

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.

• Lauren Buck, RN

  • Registered Nurse
  • Boston, MA
  • NPI 1861945586
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942385364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249R BROADWAY",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "781-286-8176",
            "fax_number": "781-485-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249R BROADWAY",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "781-286-8176",
            "fax_number": "781-485-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF REVERE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CATINAZZO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR OF INSPECTIONAL SERVICES",
        "authorized_official_telephone_number": "781-286-8176",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benson Chu, M.D.
• Janet T. Chua, M.D.
• Desirae Cinquanta, MSCCCSLP
• Citizens Physical Therapy Inc
• City of Revere
• Citypsych Wellness, Inc.
• Marnie Isabella Clavel
• Chelsea Clifford
• Joan Marie Clifford, DNP
• John Patrick T Co, MD

• Public Health or Welfare Agency in Revere, MA
• Providers in Revere, MA by specialty
• Public Health or Welfare Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.