1194136424 NPI number — TOBIAS & BATTITE, INC

Table of content: (NPI 1194136424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194136424 NPI number — TOBIAS & BATTITE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOBIAS & BATTITE, INC
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:
TOBIAS & BATTITE, INC
Provider Other Organization Name Type Code:
3
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:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194136424
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/18/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 TEMPLE PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02111-1306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-426-2226
Provider Business Mailing Address Fax Number:
617-426-6443

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 TEMPLE PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02111-1306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-426-2226
Provider Business Practice Location Address Fax Number:
617-426-6443
Provider Enumeration Date:
05/08/2014

Additional Information

Authorized Official

Authorized Official Last Name:
CATALANO
Authorized Official First Name:
CAMILLE
Authorized Official Middle Name:
C
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
617-426-2226

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332S00000X , with the licence number: 18 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1517449 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 996187 . This is a "NETWORK HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0007548 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 5364521509 . This is a "COMMONWEALTH CARE ALLIANCE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 801873 . This is a "TUFTS MEDICAL CENTER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 45-00011 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 5488485 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000005467 . This is a "BOSTON MEDICAL CENTER HEALTHNET PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3660 . This is a "SENIOR WHOLE HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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