Provider Demographics
NPI:1962598136
Name:NEW ENGLAND SINAI HOSPITAL AND REHABILITATION CENTER
Entity type:Organization
Organization Name:NEW ENGLAND SINAI HOSPITAL AND REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-297-1101
Mailing Address - Street 1:150 YORK ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-1829
Mailing Address - Country:US
Mailing Address - Phone:781-297-1101
Mailing Address - Fax:
Practice Address - Street 1:150 YORK ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1829
Practice Address - Country:US
Practice Address - Phone:781-297-1101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2250282E00000X, 261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered282E00000XHospitalsLong Term Care Hospital
Not Answered261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01766389Medicaid
MA1100718Medicaid
MA630192OtherAETNA/US HEALTHCARE
MA800774OtherTUFTS INPATIENT
MA903106OtherTUFTS - OUTPATIENT
MAS0005576OtherCHAMPUS
MANEW2222202710OtherBCBSMA - OUTPATIENT
MA903106OtherTUFTS OUTPATIENT
MA1905503Medicaid
VA623835OtherBC OF VIRGINIA
MA800774OtherTUFTS - INPATIENT
MANEW2222202701OtherBCBS OF MA- INPATIENT
MA1902687Medicaid
MA0009839OtherNEIGHBORHOOD HEALTH
MA1202804Medicaid
MA900074OtherHARVARD PILGRIM HEALTHCAR
NYZ2243OtherBC OF NEW YORK
MA903106OtherTUFTS - OUTPATIENT
MA1202804Medicaid