DVA HEALTHCARE OF MASSACHUSETTS INC


Address: 799 Concord Ave, Cambridge, MA 02138
Phone: 6175477700

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MA 1311344 05

Other Provider/Organization Names

Other Name Type Code
Northeast Cambridge Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 799 CONCORD AVE
City CAMBRIDGE
State MA
Zip Code 02138

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City CAMBRIDGE
Zip Code 02138

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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