Organization Active NPI

Scituatelight Primary Care Services

  • Primary Care Nurse Practitioner
  • Stoughton, MA
National Provider Identifier
1962077362
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
SCITUATELIGHT PRIMARY CARE SERVICES
Practice address
630 Park St
Stoughton, MA 02072-3659
Phone
(508) 345-9420
NPI assigned
May 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Esther Wamburu
Title
Owner
Phone
(508) 436-3432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

630 Park St
Stoughton, MA 02072-3659

Mailing address

966 Park St
Stoughton, MA 02072-3650
Phone (781) 436-8418

Other names 1

  • Scituatelight Primary Care Services Doing business as

National Provider Directory

National Provider Directory

Locations

966 Park St
Stoughton, MA 02072
Phone (617) 344-4084

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1962077362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 PARK ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-436-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PARK ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723659",
            "telephone_number": "508-345-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCITUATELIGHT PRIMARY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "WAMBURU",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-436-3432"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scituatelight Primary Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.