BRANDEIS UNIVERSITY


Address: 415 South St # Ms 034, Waltham, MA 02453
Phone: 7817363677

BRANDEIS UNIVERSITY (NPI# 1588025217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588025217
Entity Type Organization
Organization Name BRANDEIS UNIVERSITY
Practice Address 415 South St # Ms 034
Waltham
MA 02453
Mailing Address 415 South St # Ms 034
Waltham
MA 02453-2728
Practice Telephone 7817363677
Practice Fax Number 7817363675
Mailing Telephone 7817363677
Mailing Fax Number 7817363675
Enumeration Date 2016-03-08
Last Update Date 2020-11-09
Authorized Official Name SAMUEL SOLOMON (CFO)
Authorized Official Telephone 7817368539
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669689014 Brandeis University Counselor Ms 061, 415 South St, Waltham, MA 02454-9110 2007-05-16
1295126894 Brandeis University Case Manager/Care Coordinator 415 South St, Ms061, Waltham, MA 02453-2728 2015-02-18

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporation Entity BRANDEIS UNIVERSITY , ,
Massachusetts Corporation BRANDEIS UNIVERSITY UNKNOWN , WALTHAM, MA 02154

Office Location

Street Address 415 SOUTH ST # MS 034
City WALTHAM
State MA
Zip Code 02453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164676417 Diana Denning Nurse Practitioner 415 South St # Ms 034, Waltham, MA 02453 2008-11-13
1457743064 Leslie Jane Cadigan Nurse Practitioner 415 South St # Ms 034, Waltham, MA 02453-2728 2015-02-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811595770 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 66 Seyon St, Waltham, MA 02453 2020-10-13
1679040935 Elsa L. Lichman Social Worker 52 Derby Street, Waltham, MA 02453 2018-10-25
1760957468 Sherry Leigh Miller Counselor C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 2018-10-09
1639644651 Leo V Sarkissian Social Worker The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 2018-10-05
1629569512 Abaytum Investments Inc Home Health 24 Crescent Street, Suite 104, Waltham, MA 02453 2018-05-25
1225542970 Mikayla E Culpo Nurse Practitioner 9 Hope Ave Fl Bch4, Waltham, MA 02453 2017-11-16
1568975449 Twyla Atherna Everett Massage Therapist 212 Calvary St, Waltham, MA 02453 2017-11-14
1407369382 Eli Miller Counselor 431 River Street, Suite 1, Waltham, MA 02453 2017-11-14
1396263927 Jill Zaricor Student in an Organized Health Care Education/Training Program 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 2017-09-04
1538683008 Michael Scaduto Physical Therapist 110-1 Clematis Ave, Waltham, MA 02453 2017-07-27
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841766540 Dorothy Prince Clinic/Center 182 Water St, Pembroke, MA 02359-1957 2018-10-19
1821449950 Curry College Clinic/Center 1016 Brush Hill Rd, Milton, MA 02186-1218 2016-06-30
1902267602 New England Conservatory Clinic/Center 241 Saint Botolph St Rm 112, Boston, MA 02115-4918 2016-03-09
1902114564 Danielle Smith Clinic/Center 153 Sherbert Rd, Ashburnham, MA 01430-1014 2010-09-16
1841353158 Wpi Health Services Clinic/Center 100 Institute Road, Wpi Health Services, Worcester, MA 01609-2247 2006-12-18
1598391633 Babson College Clinic/Center 231 Forest St, Wellness Center, Babson Park, MA 02457 2020-03-20
1669007456 Nathanaelle Onyinyechi Ibeziako Clinic/Center 145 Harrison Ave, Boston, MA 02111-1802 2020-03-11
1972155422 Congenial Healthcare, LLC Clinic/Center 255 Grapevine Rd, Wenham, MA 01984 2019-07-15
1548825920 Maria Magdalena Wilson Clinic/Center 340 Main St Ste 818, Worcester, MA 01608-1604 2019-05-01
1912407875 Sarah M Blood Clinic/Center 282 Farmers Row, Groton, MA 01450-1848 2018-02-17
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Competitor

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City WALTHAM
Zip Code 02453

Improve Information

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Dataset Information

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.

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