CARITAS PHYSICIAN NETWORK (NPI# 1851584189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851584189 |
| Entity Type | Organization |
| Organization Name | CARITAS PHYSICIAN NETWORK |
| Practice Address |
77 Warren St Caritas Physician Network Brighton MA 02135-3601 |
| Mailing Address |
77 Warren St Caritas Physicia Network Brighton MA 02135-3601 |
| Practice Telephone | 6177892317 |
| Practice Fax Number | 6175625488 |
| Mailing Fax Number | 6175625488 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Authorized Official Name | DR. PAUL J HESKETH (CHIEF, HEMATOLOGY-ONCOLOGY) |
| Authorized Official Telephone | 6177892317 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
98556 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0324141 | 05 | |
| MA | BC/BS | NP2436 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639386204 | Caritas Physician Network | Nurse Practitioner | 1428 Main St Ste 7, Walpole, MA 02081-1729 | 2007-05-16 |
| Street Address |
77 WARREN ST CARITAS PHYSICIAN NETWORK |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131194 | Roger F Cohen | Clinical Neuropsychologist | 77 Warren St, Suite 453, Brighton, MA 02135-3601 | 2005-08-11 |
| 1699383489 | Rhianna Candido | Registered Nurse | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-17 |
| 1770101586 | Jennie Vaughan Hollyday | Peer Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-08 |
| 1922620863 | Jonathan Kolodziej | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2020-05-14 |
| 1114401098 | Hayley Youngstrom | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1548744436 | Kelsey Elizabeth Connolly | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1629551585 | Caitlyn Burns | Counselor | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-07 |
| 1790294981 | Evan Moran Queenan | Counselor | 77 Warren St, Brighton, MA 02135 | 2017-09-20 |
| 1609395615 | Hannah Goehner | Student in an Organized Health Care Education/Training Program | 77 Warren St, Brighton, MA 02135-3601 | 2017-09-12 |
| 1669990727 | Yasmin A Santos | Registered Nurse | 77 Warren St, Brighton, MA 02135 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760571087 | Juan C Vera | Clinic/Center | 212 Ashmont St, Dorchester Center, MA 02124-3802 | 2006-10-12 |
| 1831575380 | Boston Children's Hospital | Clinic/Center | 333 Longwood Ave, Boston, MA 02115-5711 | 2015-08-07 |
| 1902224496 | Dana-farber Cancer Care Network, Inc. | Clinic/Center | 10 Willard St, Quincy, MA 02169-1281 | 2014-04-01 |
| 1578718185 | Dana Farber Cancer Institute | Clinic/Center | 44 Binney Street, Dana Farber Cancer Institute, Boston, MA 02115 | 2008-11-24 |
| 1033274295 | The Cancer Center of Boston, Inc. | Clinic/Center | 830 Boylston St, Suite 209, Chestnut Hill, MA 02467-2503 | 2006-12-27 |
| 1215097910 | Dana Farber Cancer Institute | Clinic/Center | 44 Binney St, Boston, MA 02115-6013 | 2006-12-11 |
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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.