1902018526 NPI number — NAOMI HONIGSBERG-STEINER M.D.

Table of content: NAOMI HONIGSBERG-STEINER M.D. (NPI 1902018526)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902018526 NPI number — NAOMI HONIGSBERG-STEINER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HONIGSBERG-STEINER
Provider First Name:
NAOMI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HONIGSBERG
Provider Other First Name:
NAOMI
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1902018526
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/16/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
720 HARRISON AVE
Provider Second Line Business Mailing Address:
DOB 503
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02118-2371
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
850 HARRISON AVE
Provider Second Line Business Practice Location Address:
YACC 5
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02118-4001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-414-4841
Provider Business Practice Location Address Fax Number:
617-414-2208
Provider Enumeration Date:
05/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0006X , with the licence number:  81924 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: AA7550 . This is a "HPHC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: J31911 . This is a "HMO BLUE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0031276 . This is a "NHP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 110057166A , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3336308 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: SMS . This is a "SMS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3395920 . This is a "AETNA USHC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 468623 . This is a "TAHP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 7500960 . This is a "UHC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: J31911 . This is a "BS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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