RICHARD PRUDENCIO (NPI# 1598837452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598837452 |
| Entity Type | Individual |
| Full Name | RICHARD PRUDENCIO |
| Credential | M.D. |
| Practice Address |
1575 Cambridge St Cambridge MA 02138-4308 |
| Mailing Address |
289 Highland Ave 108 Somerville MA 02144-3209 |
| Practice Telephone | 6178764344 |
| Practice Fax Number | 6172347950 |
| Mailing Telephone | 6178764344 |
| Mailing Fax Number | 6172347950 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 223241 | MA | Hospitals |
| Street Address |
1575 CAMBRIDGE ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707178 | Youville Hospital & Rehabilitation Center | Long Term Care Hospital | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2005-06-01 |
| 1649884289 | Miriam Anne Lautenschlager | Registered Nurse | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2020-09-01 |
| 1144860081 | Sarah Catherine Moody-pourian | Speech-Language Pathologist | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2020-01-08 |
| 1881244655 | Danielle Pastuszak | Physical Therapist | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2019-09-13 |
| 1306494158 | Samantha Curran | Occupational Therapist | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2019-08-26 |
| 1508329830 | Alyson Locke | Social Worker | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2019-04-12 |
| 1578027124 | Christina Palmieri | Nurse Practitioner | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2019-01-29 |
| 1013496389 | John Horras | Social Worker | 1575 Cambridge St, Cambridge, MA 02138 | 2018-08-08 |
| 1780179861 | Anne Marie Dattero | Social Worker | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2018-06-29 |
| 1649769308 | Janet Rosenwasser | Social Worker | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2018-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760676126 | Jay E Rosenfeld Md PC | Rehabilitation Hospital | 25 Hawkins Pl, Duxbury, MA 02332-4537 | 2007-08-29 |
| 1588854293 | Debra Maureen Clooney | Rehabilitation Hospital | 63 Bradley Rd, Weymouth, MA 02191-1901 | 2007-07-29 |
| 1629190269 | Mentor Abi, LLC | Rehabilitation Hospital | 1107 Middle St, Weymouth, MA 02190-1819 | 2007-04-04 |
| 1023139409 | Fs Commonwealth LLC | Rehabilitation Hospital | 333 Park St, Nerh Mclaughlin House, North Reading, MA 01864-2717 | 2007-04-03 |
| 1922128115 | Fs Commonwealth LLC | Rehabilitation Hospital | 17 Warren Ave, Nerh Warren House, Woburn, MA 01801-4936 | 2007-03-30 |
| 1639225600 | Center for Comprehensive Services | Rehabilitation Hospital | 13 Susan Road, S. Easton, MA 02375-1608 | 2007-01-25 |
| 1790329878 | Delta Projects, Inc. | Rehabilitation Hospital | 118 Allied Dr, Dedham, MA 02026-6146 | 2019-11-01 |
| 1982112421 | Maria Kim M.d. Internal Medicine, LLC | Rehabilitation Hospital | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 | 2018-01-18 |
| 1932563665 | Danielle Young | Rehabilitation Hospital | 250 Pond St, Braintree, MA 02184-5351 | 2016-04-08 |
| 1851769533 | Spaulding Rehabilitation Hospital | Rehabilitation Hospital | 300 1st Ave, Charlestown, MA 02129-3109 | 2015-09-11 |
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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.