DVA HEALTHCARE OF MASSACHUSETTS INC (NPI# 1932168879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932168879 |
Entity Type | Organization |
Organization Name | DVA HEALTHCARE OF MASSACHUSETTS INC |
Other Organization Name | NORTHEAST CAMBRIDGE DIALYSIS |
Practice Address |
799 Concord Ave Cambridge MA 02138 |
Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
Practice Telephone | 6175477700 |
Practice Fax Number | 6178644724 |
Mailing Telephone | 6153204214 |
Mailing Fax Number | 8669443352 |
Enumeration Date | 2006-03-20 |
Last Update Date | 2019-11-19 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCT OFFICER & INTERIM CFO) |
Authorized Official Telephone | 2537334500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
EZ6C | MA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1311344 | 05 |
Other Name | Type Code |
---|---|
Northeast Cambridge Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
1811956246 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 31 Mall Rd, Suite 1b, Burlington, MA 01803-4138 | 2006-03-23 |
1891754883 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 10 Cabot Rd, Ste 103b, Medford, MA 02155-5275 | 2006-03-20 |
1962461988 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 237-b State Rd, North Dartmouth, MA 02747-2612 | 2006-03-20 |
1235198193 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 207 Highland Ave, Ste 205, Salem, MA 01970-1829 | 2006-03-20 |
1710946637 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 660 Harrison Ave, Boston, MA 02118-2304 | 2006-03-20 |
1124087150 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 322 Washington St, Brookline, MA 02445-6850 | 2006-03-20 |
1083673990 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 330 Libbey Industrial Pkwy, Ste 900, Weymouth, MA 02189-3122 | 2006-03-20 |
1851350714 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 195 Worcester St, Lower Level, Wellesley, MA 02481-5568 | 2006-03-20 |
1184683047 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 23 Warren Ave, Woburn, MA 01801-7906 | 2006-03-20 |
Street Address |
799 CONCORD AVE |
City | CAMBRIDGE |
State | MA |
Zip Code | 02138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588659189 | Nancy Anne Legere | Physical Therapist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2005-09-20 |
1780290189 | Marissa Smith-millman | Psychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2020-09-21 |
1457906372 | Brittany Jordan-arthur | Psychologist | 799 Concord Ave, Mclean Child Outpatient Services, Cambridge, MA 02138 | 2019-08-07 |
1578115887 | Yudelki Marlin Firpo-perretti | Psychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2019-07-16 |
1508323056 | Kayla Perry | Speech-Language Pathologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2019-02-20 |
1073086088 | Erin Elizabeth Holyoke | Occupational Therapist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2019-01-03 |
1316413156 | Jin's Acupuncture & Herbal Medicine | Acupuncturist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-10-19 |
1700368719 | Karmen Koesterer | Clinical Neuropsychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-09-05 |
1770075848 | Monica Betjemann | Nurse Practitioner | 799 Concord Ave, Cambridge, MA 02138-1048 | 2018-06-04 |
1295257772 | Trudi Beth Koslof | Psychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2017-07-17 |
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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 | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518229277 | Kidney Care Centers of Cambridge Ohio LLC | Clinic/Center | 6901 Glenn Hwy, Suite A, Cambridge, OH 43725-8685 | 2012-06-08 |
1316063233 | St. Cloud Hospital | Clinic/Center | 520 11th Ave Sw, South Building, Cambridge, MN 55008-2003 | 2007-03-22 |
1710941083 | Dva Renal Healthcare Inc | Clinic/Center | 1300 Clark St, Cambridge, OH 43725-8875 | 2006-04-13 |
1215997416 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 704 Cambridge Plz, Cambridge, MD 21613-2531 | 2006-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760025217 | Leominster Dialysis LLC | Clinic/Center | 20 Commercial Rd Ste 5, Leominster, MA 01453-3339 | 2019-10-28 |
1801448725 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 10 Galaxy Pass Ste A, Sutton, MA 01590-4838 | 2019-07-11 |
1023596863 | Ara-holyoke Dialysis LLC | Clinic/Center | 36 Lower Westfield Rd Unit C-153, Holyoke, MA 01040-2749 | 2018-08-03 |
1831603638 | Auburn Health LLC | Clinic/Center | 771 Southbridge St Ste 1, Auburn, MA 01501-1345 | 2017-12-01 |
1295247955 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 867 Grafton St Ste 3, Worcester, MA 01604-2052 | 2017-11-02 |
1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
1942673819 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 216 Huttleston Ave, Fairhaven, MA 02719-1958 | 2015-11-02 |
1134500747 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 75 Newbury St, Danvers, MA 01923-1083 | 2015-06-10 |
1588067623 | Nxstage Boston South, LLC | Clinic/Center | 500 Providence Hwy Ste 1, Norwood, MA 02062-4960 | 2014-10-03 |
1164840484 | Fresenius Medical Care Cnv Marlborough, LLC | Clinic/Center | 360 Cedar Hill St Ste 3, Marlborough, MA 01752-4175 | 2014-04-03 |
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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.