PRESIDENT AND FELLOWS OF HARVARD COLLEGE (NPI# 1093069858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093069858 |
| Entity Type | Organization |
| Organization Name | PRESIDENT AND FELLOWS OF HARVARD COLLEGE |
| Practice Address |
188 Longwood Ave Boston MA 02115-5819 |
| Mailing Address |
30 Bertson Ave West Roxbury MA 02132-3221 |
| Practice Telephone | 6174321434 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | CATHERINE LANE (ASSISTANT DEAN OF CLINICAL OPERATIO) |
| Authorized Official Telephone | 6174324276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DF10843 | MA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073947396 | President and Fellows of Harvard College | Clinic/Center | 75 Mount Auburn St, Cambridge, MA 02138-4960 | 2013-08-22 |
| 1881852713 | President and Fellows of Harvard College | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2008-05-28 |
| 1972761807 | President and Fellows of Harvard College | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2008-05-28 |
| 1164512570 | President and Fellows of Harvard College | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2006-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESIDENT AND FELLOWS OF HARVARD COLLEGE | 1033 Massachusetts Ave 5th Fl, Cambridge, MA 02138-5369 |
| Massachusetts Corporations | PRESIDENT AND FELLOWS OF HARVARD COLLEGE | Harvard University, Massachusetts Hall, Cambridge, MA 02138 |
| New York State Corporations | PRESIDENT AND FELLOWS OF HARVARD COLLEGE | 80 State Street, Albany, Ny 122072543 |
| Street Address |
188 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664849 | Thomas R Flynn | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2005-10-27 |
| 1346857869 | Saad Almujel | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-09-29 |
| 1548878176 | Ionut Sebastian Viski | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-20 |
| 1962010504 | Ankita Arunkumar Nigam | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-20 |
| 1013525708 | Min Jeong | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-19 |
| 1235747395 | Yujun Wang | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-15 |
| 1346868692 | Asmaa Faisal Bukhari | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-13 |
| 1003433160 | Nicha Tokavanich | Student in an Organized Health Care Education/Training Program | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-06 |
| 1134746464 | Justin Lewis Tomack | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-02 |
| 1144847526 | Morgan Celistan | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1407465743 | Beacon Dental Health PC | Clinic/Center | 21 Merchants Row Ste 2a, Boston, MA 02109-2040 | 2020-07-22 |
| 1720642143 | Akradi Dental, LLC | Clinic/Center | 21 Bay State Rd # 3, Boston, MA 02215-2101 | 2019-05-01 |
| 1124595111 | Bespoke Dental Boston | Clinic/Center | 11 Newbury St Fl 4, Boston, MA 02116-3138 | 2018-10-28 |
| 1851871081 | Boston Premier Dentistry, PC | Clinic/Center | 10 Tremont St Ste 402, Boston, MA 02108-2062 | 2018-08-16 |
| 1376032292 | Boston Park Dental Group | Clinic/Center | 128a Tremont St Fl 3, Boston, MA 02108-4716 | 2018-05-07 |
| 1447752563 | Kristen Choe Dority, Dmd, PC | Clinic/Center | 37 Newbury St Ste 3, Boston, MA 02116-3428 | 2018-03-05 |
| 1639682305 | Boston Dental Partners LLC | Clinic/Center | 330 Martin Luther King Blvd, Boston, MA 02119-1868 | 2017-11-15 |
| 1831619469 | Levy Family Dental LLC | Clinic/Center | 185 Devonshire St Ste 410, Boston, MA 02110-1413 | 2017-06-24 |
| 1811417603 | Trinity Dental Pllc | Clinic/Center | 1 Huntington Ave Unit B, Boston, MA 02116-5713 | 2017-06-22 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on PRESIDENT AND FELLOWS OF HARVARD COLLEGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.