Organization Active NPI

Town of Hopkinton

  • Registered Nurse
  • Hopkinton, MA
National Provider Identifier
1992956940
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
TOWN OF HOPKINTON
Practice address
18 Main St
Hopkinton, MA 01748-3209
Phone
(508) 497-9725
Fax
(508) 497-9702
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Mr. Shaun Michael McAuliffe
Title
Health Department Director
Phone
(508) 497-9725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

18 Main St
Hopkinton, MA 01748-3209

Mailing address

18 Main St
Hopkinton, MA 01748-3209
Phone (508) 497-9725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000367 MA Part B Supplier - Mass Immunization (Roster Biller Only) 3173587052 Practice locations: Hopkinton, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2197877Town of Hopkinton18 Main St, Hopkinton, MA 01748Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Town of Hopkinton3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

18 Main St
Hopkinton, MA 01748
Phone (339) 223-7968

73 Main St
Hopkinton, MA 01748
Phone (508) 435-6365

Practitioners & affiliated clinicians

Practitioners 2

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": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1992956940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017483209",
            "telephone_number": "508-497-9725",
            "fax_number": "508-497-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017483209",
            "telephone_number": "508-497-9725",
            "fax_number": "508-497-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF HOPKINTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "MCAULIFFE",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "HEALTH DEPARTMENT DIRECTOR",
        "authorized_official_telephone_number": "508-497-9725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.