1427972116 NPI number — SHIELDS HEALTH IMAGING AT NEWTON LLC

Table of content: (NPI 1427972116)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427972116 NPI number — SHIELDS HEALTH IMAGING AT NEWTON LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHIELDS HEALTH IMAGING AT NEWTON LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
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NPI Number Information

NPI Number:
1427972116
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 CONGRESS ST STE 204
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUINCY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02169-0928
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-258-4738
Provider Business Mailing Address Fax Number:
888-662-4700

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2221 WASHINGTON ST STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02462-1417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-258-4674
Provider Business Practice Location Address Fax Number:
800-253-7569
Provider Enumeration Date:
08/06/2026

Additional Information

Authorized Official

Authorized Official Last Name:
DELMORE
Authorized Official First Name:
KRISTEN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
617-376-7400

Provider Taxonomy Codes

  • Taxonomy code: 261QM1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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