Organization Active NPI

Caritas Medical Group Inc.

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1952553430
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CARITAS MEDICAL GROUP INC.
Practice address
736 Cambridge St
MMR 284
Boston, MA 02135-2907
Phone
(617) 789-3212
NPI assigned
Oct 16, 2008
Organization subpart
Yes
Parent organization
CARITAS MEDICAL GROUP INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Timothy Crowley, MD
Title
MD
Phone
(617) 789-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

736 Cambridge St
MMR 284
Boston, MA 02135-2907

Mailing address

PO Box 415376
Boston, MA 02241-5376
Phone (866) 945-6774

Other names 1

  • Caritas Christi Emergency Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seton Cardiothor Surg a6 organizations share this tax ID, including this one
Part of
Seton Cardiothor Surg a

Other organizations with this tax ID 5

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

Locations

736 Cambridge St
#284
Boston, MA 02135
Phone (617) 789-3212

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1952553430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415376",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415376",
            "telephone_number": "866-945-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "address_2": "MMR 284",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS MEDICAL GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARITAS MEDICAL GROUP INC.",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "617-789-2155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caritas Christi Emergency Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 16, 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.