MEDICARE: NEW ENGLAND BAPTIST HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	2059	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	903897	OTHER	MA	TUFTS INPATIENT
3	NEW2222008810	OTHER	MA	BLUE CROSS OUTPATIENT
4	900033	OTHER	MA	TUFTS OUTPATIENT
5	900073	OTHER	MA	HARVARD PILGRIM INPT/OUTP
6	NEW2222008830	OTHER	MA	BLUE CROSS DAY SURGERY
7	728263	OTHER	MD	TUFTS SNF
8	NEW2222556301	OTHER	MA	BLUE CROSS SNF
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	NEW2222008801	OTHER	MA	BLUE CROSS INPATIENT

General Provider Information

NPI Number	:	1699767491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ENGLAND BAPTIST HOSPITAL

Provider Business Mailing Address
First Line	:	125 PARKER HILL AVE
Second Line	:
City	:	ROXBURY CROSSING
State	:	MA
Zip	:	02120-2847
Country	:	US
Telephone Number	:	617-754-5800
Fax Number	:	617-754-6418

Provider Business Practice Location Address
First Line	:	125 PARKER HILL AVE
Second Line	:
City	:	ROXBURY CROSSING
State	:	MA
Zip	:	02120-2847
Country	:	US
Telephone Number	:	617-754-5800
Fax Number	:	617-754-6418

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID A PASSAFARO
Credential	:
Telephone Number	:	617-754-5001

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	09/26/2024

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Directions to “NEW ENGLAND BAPTIST HOSPITAL ” Practice Location

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