Provider Demographics
NPI:1881684934
Name:NEW DIMENSIONS IN HEALTH, INC.
Entity type:Organization
Organization Name:NEW DIMENSIONS IN HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:D
Authorized Official - Last Name:HERSHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MS
Authorized Official - Phone:617-269-6262
Mailing Address - Street 1:653 SUMMER ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-2108
Mailing Address - Country:US
Mailing Address - Phone:617-269-6262
Mailing Address - Fax:617-269-1068
Practice Address - Street 1:653 SUMMER ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-2108
Practice Address - Country:US
Practice Address - Phone:617-269-6262
Practice Address - Fax:617-269-1068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8211OtherNEIGHBORHOOD HP
MAY65611OtherBLUE CROSS BLUE SHIELD
MA718592OtherTUFTS HP
MA10230200OtherACS
MA4598099OtherAETNA
MA603413OtherHARVARD PILGRIM HC
MA6440025OtherUNITED HC
MA4598099OtherAETNA