ROSWELL PARK CANCER INSTITUTE (NPI# 1154702330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154702330 |
| Entity Type | Organization |
| Organization Name | ROSWELL PARK CANCER INSTITUTE |
| Practice Address |
16 George Ave Peabody MA 01960-2604 |
| Practice Telephone | 5084239131 |
| Mailing Telephone | 5084239131 |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2015-06-14 |
| Authorized Official Name | DR. PHILIP WILLIAMS (DIRECTOR, GPR PROGRAM) |
| Authorized Official Telephone | 7168455972 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881038743 | Roswell Park Cancer Institute | Special Hospital | Carlton Building, Elm and Carlton Street, Buffalo, NY 14263-0001 | 2013-04-23 |
| 1821252115 | Roswell Park Cancer Institute | Special Hospital | Roswell Park Cancer Institute Dept Of, Elm & Carlton Streets, Buffalo, NY 14263-0001 | 2008-07-15 |
| 1588186522 | Roswell Park Cancer Institute | Clinic/Center | Elm and Carlton St, Buffalo, NY 14263-0001 | 2017-07-12 |
| 1316292014 | Roswell Park Cancer Institute | Special Hospital | Roswell Park Cancer Institute, Elm & Carlton Street, Buffalo, NY 14263-0001 | 2012-07-18 |
| 1548597198 | Roswell Park Cancer Institute | General Acute Care Hospital | Elm and Carlton St, Buffalo, NY 14263-0001 | 2009-11-03 |
| 1548315401 | Roswell Park Cancer Institute | General Acute Care Hospital | Elm and Carlton St, Buffalo, NY 14263 | 2007-01-23 |
| 1689775462 | Roswell Park Cancer Institute | Special Hospital | Elm and Carlton St, Buffalo, NY 14263-0001 | 2006-09-26 |
| 1720036593 | Roswell Park Cancer Institute | Clinic/Center | Elm and Carlton St, Buffalo, NY 14263-0001 | 2006-05-04 |
| Street Address |
16 GEORGE AVE |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265778294 | Svetlana M Moheydeen | Special Hospital | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2012-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578956983 | Leah's Doula Support | Special Hospital | 41 Irma Ave, Watertown, MA 02472-3530 | 2015-03-09 |
| 1942698626 | Veterinary Neurology and Pain Management Center of Ne | Special Hospital | 2250 Providence Hwy, Walpole, MA 02081-2548 | 2015-01-02 |
| 1326214123 | Rola Benayad-cherif | Special Hospital | 64 Baker Ave, Lexington, MA 02421-6227 | 2008-05-01 |
| 1508043589 | Norton Healthcare Staffing | Special Hospital | 23 Chestnut Rd, Reading, MA 01867-2142 | 2008-01-22 |
| 1265624670 | Stefanie Haug | Special Hospital | Cambridge Health Alliance - Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2007-08-10 |
| 1649256504 | Robert H. Ackerman, Md | Special Hospital | Fruit St, Cln 340, Boston, MA 02114 | 2005-12-21 |
| 1982159778 | Bedford Va Hospital | Special Hospital | 200 Springs Rd, Bedford, MA 01730-1114 | 2016-08-22 |
| 1346693843 | Jay Gorman | Special Hospital | 200 Springs Rd, Bedford, MA 01730-1114 | 2016-07-20 |
| 1417325507 | Danielle Mary Lafave | Special Hospital | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2015-09-08 |
| 1851723340 | Harvard Dental Medicine School | Special Hospital | 188 Longwood Ave, Boston, MA 02115-5819 | 2013-08-06 |
| Find all providers with the same taxonomy | ||||
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| 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.