MASSACHUSETTS INSTITUTE OF TECHNOLOGY (NPI# 1346308723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346308723 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS INSTITUTE OF TECHNOLOGY |
| Other Organization Name | MIT MEDICAL |
| Practice Address |
25 Carleton St. E23-395 Cambridge MA 02142-1323 |
| Mailing Address |
77 Massachusetts Ave E23-397 Cambridge MA 02139-4301 |
| Practice Telephone | 6172530556 |
| Practice Fax Number | 6172536558 |
| Mailing Telephone | 6172530556 |
| Mailing Fax Number | 6172536558 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-10-09 |
| Authorized Official Name | JANE BOATRIGHT (FINANCE MANAGER) |
| Authorized Official Telephone | 6172580621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS PHYSICAL THERAPY | Y61353 | 01 |
| MA | BCBS | M16471 | 01 |
| Other Name | Type Code |
|---|---|
| MIT Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578061 | Massachusetts Institute of Technology | Ambulance | 77 Massachusetts Ave, Cambridge, MA 02139-4301 | 2020-08-10 |
| 1588133946 | Massachusetts Institute of Technology | Dentist | 25 Carleton St, Cambridge, MA 02142-1323 | 2018-11-15 |
| 1457607756 | Massachusetts Institute of Technology | Clinic/Center | 25 Carleton St, Cambridge, MA 02142-1323 | 2012-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MASSACHUSETTS INSTITUTE OF TECHNOLOGY | 77 Massachusetts Ave Bldg Ne # 49-4097, Cambridge, MA 02139-4301 |
| Street Address |
25 CARLETON ST. E23-395 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02142-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851890776 | Pramod Soparkar | Dentist | The Forsyth Institute, 245 First St, Cambridge, MA 02142 | 2018-02-06 |
| 1720445331 | Ahmed Keles | Dentist | 245 First St Cambridge, 17th Floor, Cambridge, MA 02142 | 2016-01-27 |
| 1366842593 | Alexandra Penney | Dietitian, Registered | 215 First St, Cambridge, MA 02142 | 2014-08-25 |
| 1871737213 | Carmen R Bozic | Internal Medicine | Biogen Idec Inc., 14 Cambridge Center, Cambridge, MA 02142 | 2009-04-29 |
| 1326282765 | Tenley E Albright | Surgery | The Collaborative, Four Cambridge Center, Cambridge, MA 02142 | 2009-04-29 |
| 1467671248 | Frannie Renee Kronenberg | Internal Medicine | 15 Parkman Street, Ima/mgh, Suite 616 Wacc, Boston, MA 02142 | 2007-04-24 |
| 1992820799 | Mary Ann Asbell | General Practice | Genzyme, 500 Kendall Street, Cambridge, MA 02142 | 2007-03-20 |
| 1083743967 | Brian L Hamilton | Pediatrics | Merimack Pharmaceuticals, 101 Binney Street, Cambridge, MA 02142 | 2007-03-05 |
| 1659437481 | Dermot A O'rourke | Psychiatry & Neurology | Mit Clinical Research Center E17-445, 40 Ames Street, Cambridge, MA 02142 | 2006-12-28 |
| 1235238015 | Sumita Gokhale | Pathology | 9 Cambridge Ctr, Room 449, Whitehead Institute-biomedical Research, Cambridge, MA 02142 | 2006-09-21 |
| Find all providers in zip 02142 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427267285 | Cambridge Health Alliance | Clinic/Center | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2007-05-21 |
| 1134338999 | Cambridge Health Alliance | Clinic/Center | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2007-05-21 |
| 1952366312 | President & Fellows of Harvard College | Clinic/Center | 75 Mount Auburn St, Cambridge, MA 02138-4960 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619435542 | Sara Dietrich Mcgowan | Clinic/Center | 189 Washington St # 2, Winchester, MA 01890-2141 | 2019-03-11 |
| 1477073138 | Acorn Health Services, PC | Clinic/Center | 112 Main St Ste 104, Northborough, MA 01532-1914 | 2017-06-23 |
| 1992199830 | Massachusetts Integrated Care | Clinic/Center | 108 Grove St Ste 22, Worcester, MA 01605-2651 | 2015-03-27 |
| 1568851368 | Brain Fit Academy, Inc | Clinic/Center | 25 Westcott Rd, Hopedale, MA 01747-1824 | 2015-01-16 |
| 1689007908 | Convivial Dental PC | Clinic/Center | 1244 Boylston St Ste 205, Chestnut Hill, MA 02467-2115 | 2013-08-11 |
| 1265873582 | New England Muscular Therapy, LLC | Clinic/Center | 1458 Hancock St, Suite 220, Quincy, MA 02169-5214 | 2013-07-15 |
| 1558613026 | Salud Spine Joint and Wellness Center | Clinic/Center | 651 Orchard Street, Suite 202a, New Bedford, MA 02744 | 2012-10-09 |
| 1932455193 | Np House/clinic Calls, LLC | Clinic/Center | 31 Eric Dr, Pittsfield, MA 01201-8324 | 2012-07-25 |
| 1508082710 | Saltz Schulman & Gershengorn Ptr Cardiology Associates | Clinic/Center | 1101 Beacon St Fl 4, Brookline, MA 02446-5587 | 2007-04-17 |
| 1407079759 | North Shore Rehabilitation Associates Inc. | Clinic/Center | 121 Broad Street, Lynn, MA 01901-1629 | 2007-04-11 |
| 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.