MEDICARE: TUFTS MEDICAL CENTER PARENT INC

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	251J00000X	Nursing Care Agency
2	311Z00000X	Custodial Care Facility
3	313M00000X	Nursing Facility/Intermediate Care Facility
4	314000000X	Skilled Nursing Facility	0756	MA
5	315P00000X	Intellectual Disabilities Intermediate Care Facility
6	3140N1450X	Pediatric Skilled Nursing Facility

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2222599901	OTHER	MA	BC/BS - MEDICARE BLUE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	2222599902	OTHER	MA	BC.BS-IND/PPO/VENT
3	551849	OTHER		AETNA-HMO
4	0020348	OTHER		NEIGHBORHOOD HEALTH PLAN
5	2222599910	OTHER	MA	BC.BS - OUTPATIENT REHAB
6	710039	OTHER		TUFTS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	904729	OTHER		HARVARD PILGRIM

General Provider Information

NPI Number	:	1801832274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUFTS MEDICAL CENTER PARENT INC

Provider Business Mailing Address
First Line	:	78 BOSTON RD
Second Line	:
City	:	N BILLERICA
State	:	MA
Zip	:	01862-1034
Country	:	US
Telephone Number	:	978-667-5123
Fax Number	:	978-663-5154

Provider Business Practice Location Address
First Line	:	78 BOSTON RD
Second Line	:
City	:	BILLERICA
State	:	MA
Zip	:	01862-1034
Country	:	US
Telephone Number	:	978-667-5123
Fax Number	:	978-663-5154

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAUREN MAZERALL
Credential	:
Telephone Number	:	978-667-5123

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	04/14/2025

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Directions to “TUFTS MEDICAL CENTER PARENT INC ” Practice Location

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