MYOMO (NPI# 1487935763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487935763 |
| Entity Type | Organization |
| Organization Name | MYOMO |
| Practice Address |
1 Broadway 14th Floor Cambridge MA 02142-1100 |
| Practice Telephone | 6178614191 |
| Mailing Telephone | 6178614191 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | MR. PAUL R GUDONIS (CEO) |
| Authorized Official Telephone | 6174012623 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MYOMO, INC. | 1 Broadway Fl 14, Cambridge, MA 02142-1187 |
| Washington State Corporations | MYOMO, INC. | One Broadway, 14th Fl, Cambridge, MA 02142 |
| Colorado Business Entities | Myomo, Inc. | One Broadway, 14th Floor, Cambridge, MA 02142 |
| New York State Corporations | MYOMOOV INC. | 350 National Boulevard, Suite 2d, Long Beach, Ny 11561 |
| Oregon Corporations, Companies and Business Names | MYOMOVER, LLC | 2552 Arroyo Ridge Ct Nw, Salem, OR 97304 |
| Street Address |
1 BROADWAY 14TH FLOOR |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02142-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922548262 | Patient Price, Inc | Technician, Health Information | 1 Broadway, 14th Floor, Cambridge, MA 02142-1100 | 2017-03-06 |
| 1528277886 | William W. Li | Internal Medicine | 1 Broadway, 14th Floor, Cambridge, MA 02142-1100 | 2007-05-22 |
| 1659300580 | Erin Piroutek Logan | Physical Therapist | 1 Broadway, Cambridge, MA 02142-1100 | 2006-07-02 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548737141 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 225 Cambridge St, Cambridge, MA 02141-1206 | 2018-11-01 |
| 1568763738 | Cornell Dupree Roberts | Durable Medical Equipment & Medical Supplies | 601 Locust St Ste 203, Cambridge, MD 21613-1720 | 2010-11-04 |
| 1700041514 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 640 Sunburst Hwy, Cambridge, MD 21613-2546 | 2008-07-21 |
| 1992969182 | Quality Medical Products | Durable Medical Equipment & Medical Supplies | 3201 317th Ave Ne, Cambridge, MN 55008-6781 | 2008-07-16 |
| 1487792495 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 100 Xylite St Ne, Cambridge, MN 55008-5809 | 2007-02-02 |
| 1639230535 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Emerson St N, Cambridge, MN 55008-1321 | 2006-12-13 |
| 1801995261 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 36 White St, Cambridge, MA 02140-1449 | 2006-09-22 |
| 1578662946 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 330 River Street, Cambridge, MA 02139-4618 | 2006-09-22 |
| 1144329509 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 215 Alewife Brook Pkwy, Cambridge, MA 02138-1101 | 2006-09-22 |
| 1760581045 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 1740 Massachusetts Avenue, Cambridge, MA 02138-1804 | 2006-09-22 |
| Find all providers in CAMBRIDGE | ||||
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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.