Active NPI
Richard Joseph Waitt, N.P.
- Nurse Practitioner
- Waltham, MA
National Provider Identifier
1992033096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 274605
- Practice address
- 950 Winter St
Waltham, MA 02451-1424 - Phone
- (781) 419-8354
- Fax
- (781) 419-8479
- NPI assigned
- Dec 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 274605 | MA | Primary |
Addresses
Primary practice location
950 Winter St
Waltham, MA 02451-1424
Mailing address
950 Winter St
Waltham, MA 02451-1424
Phone (781) 419-8354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110093584A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274605 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Spaulding Rehabilitation Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Ajay Anand MD PC | Current | Accepting new patients | |
| Ajay Anand MD PC | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
Interoperability endpoints
- waitt.richard.srb@direct.partners.masshiway.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Weston, MA
- NPI 1558403154
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Ambulance
- Somerville, MA
- NPI 1376080911
-
- Nursing Facility/Intermediate Care Facility
- Weston, MA
- NPI 1376093260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1992033096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 WINTER ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511424",
"telephone_number": "781-419-8354",
"fax_number": "781-419-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 WINTER ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511424",
"telephone_number": "781-419-8354",
"fax_number": "781-419-8479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITT",
"first_name": "RICHARD",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-01",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "274605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110093584A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.