MEDICARE: NEWTON PUBLIC SCHOOLS

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	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1951726	OTHER	MA	MASSHEALTH

General Provider Information

NPI Number	:	1275655490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWTON PUBLIC SCHOOLS

Provider Business Mailing Address
First Line	:	100 WALNUT ST
Second Line	:
City	:	NEWTONVILLE
State	:	MA
Zip	:	02460-1314
Country	:	US
Telephone Number	:	617-559-6028
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WALNUT ST
Second Line	:
City	:	NEWTONVILLE
State	:	MA
Zip	:	02460-1314
Country	:	US
Telephone Number	:	617-559-6028
Fax Number	:

Authorized Official
Title or Position	:	ASSIST DIRECTOR FOR PUPIL SERVICES
Name	:	MS. STEPHANIE A POWERS
Credential	:
Telephone Number	:	617-559-6028

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	08/22/2020

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Directions to “NEWTON PUBLIC SCHOOLS ” Practice Location

Language	Start Address	Practice Location

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