HYDE PARK HEALTH ASSOCIATES INC. (NPI# 1467543710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467543710 |
| Entity Type | Organization |
| Organization Name | HYDE PARK HEALTH ASSOCIATES INC. |
| Practice Address |
745 River St Mattapan MA 02126-1941 |
| Practice Telephone | 6173642588 |
| Mailing Telephone | 6173642588 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-03-18 |
| Authorized Official Name | CLIFFORD BONNET (OFFICE MANAGER) |
| Authorized Official Telephone | 4019542351 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
73981 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASS HEALTH | DEABB2703513 | 01 |
| MA | LICENSE | 73981 | 01 |
| Street Address |
745 RIVER ST |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174559546 | Barnett Medical Associates,pc | Internal Medicine | 745 River St, Mattapan, MA 02126-1941 | 2006-06-25 |
| 1407907462 | Marie Berthonia Antoine | Counselor | 745 River St, Mattapan, MA 02126-1941 | 2007-01-16 |
| 1306997473 | Center for Community Health, Education & Research, Inc | Community/Behavioral Health | 745 River St, Mattapan, MA 02126-1941 | 2007-01-16 |
| 1164583787 | Jean S.f. Bonnet | Internal Medicine | 745 River St, Mattapan, MA 02126-1941 | 2006-12-13 |
| 1649207051 | Reginald Andre Barnett | Internal Medicine | 745 River St, Mattapan, MA 02126-1941 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246058 | Elaine Skawski Np, LLC | Clinic/Center | 10 Hospital Dr Ste 311, Holyoke, MA 01040-6603 | 2019-07-08 |
| 1306403613 | Compassionate Care Physicians LLC | Clinic/Center | 9 Mill and Main Pl Ste 101, Maynard, MA 01754-2651 | 2019-05-22 |
| 1245721240 | Zaheen Medical Center LLC | Clinic/Center | 231 Sutton St Ste 1a, North Andover, MA 01845-1620 | 2018-05-24 |
| 1982102265 | Jacob Louis Perriello | Clinic/Center | 12 Drew Ave, Weymouth, MA 02189-2226 | 2018-02-01 |
| 1407385834 | Lawrence Health Solutions, LLC | Clinic/Center | 25 Marston St., Suite 105, Lawrence, MA 01841 | 2017-06-08 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1154866234 | Sokharith Mey, Md, Pllc | Clinic/Center | 280 Union St # 402, Lynn, MA 01901-1353 | 2016-12-28 |
| 1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
| 1669830550 | Nirphemy Dambreville-lundy | Clinic/Center | 125 Gas Light Dr, 8, Weymouth, MA 02190-2142 | 2016-02-05 |
| 1891125480 | Western Massachusetts Primary Care PC | Clinic/Center | 405 Armory St, Springfield, MA 01104-2305 | 2013-11-18 |
| 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.