Provider Demographics
NPI:1386839561
Name:CITY OF NEWTON
Entity type:Organization
Organization Name:CITY OF NEWTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:J. DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPARSTEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-796-1420
Mailing Address - Street 1:1294 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1544
Mailing Address - Country:US
Mailing Address - Phone:617-796-1420
Mailing Address - Fax:
Practice Address - Street 1:1294 CENTRE ST
Practice Address - Street 2:
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-1544
Practice Address - Country:US
Practice Address - Phone:617-796-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY10379Medicare PIN