HARVARD UNIVERSITY
NPI 1043767577
Clinic/Center - Occupational Medicine in Boston, MA

NPI Status: Active since September 01, 2016

Contact Information

677 HUNTINGTON AVE
BOSTON, MA
ZIP 02115
Phone: (603) 361-2141

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 22D0913122
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-20-2026

About HARVARD UNIVERSITY

This page provides the complete NPI Profile along with additional information for Harvard University, a provider established in Boston, Massachusetts operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1043767577 assigned on September 2016. The practitioner's primary taxonomy code is 261QX0100X with license number 265320 (MA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Ann Backus (Program Co-ordinator)

NPI
1043767577
Provider Name
HARVARD UNIVERSITY
Entity Type
Organization
Location Address
677 HUNTINGTON AVE BOSTON, MA 02115
Location Phone
(603) 361-2141
Mailing Address
1575 TREMONT ST THE LONGWOOD APT. 701 BOSTON, MA 02120
Mailing Phone
(857) 352-7845
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2016
Last Update Date
09-01-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities
License No.
265320
License State
MA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN BACKUS

Authorized Official Title
PROGRAM CO-ORDINATOR
Authorized Official Phone
(603) 361-2141

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D0913122
Facility Type
Community Clinic
Certificate Effective Date
March 21, 2024
Certificate Expiration Date
March 20, 2026
Laboratory Director
PETER J. MASSICOTT MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Harvard University in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for HARVARD UNIVERSITY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043767577
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208314614514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 4 + 6 + 1 + 4 + 5 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1043767577 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245298207 ALEXANDER D MACALALAD M.D.
Individual
Internal Medicine (Infectious Disease)677 HUNTINGTON AVE HSPH-DEPT. OF BIOSTATISTICS
BOSTON, MA 02115
(617) 432-1056
1831108109DR. MARIE C MCCORMICK MD, DSC
Individual
Pediatrics677 HUNTINGTON AVE
BOSTON, MA 02115
(617) 432-3759
1225112006 DIANE CHEN MD
Individual
Anesthesiology677 HUNTINGTON AVE
BOSTON, MA 02115
(617) 821-1192

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043767577, enumerated in the NPI registry as an "organization" on September 01, 2016

The provider is located at 677 Huntington Ave Boston, Ma 02115 and the phone number is (603) 361-2141

This medical organization specializes in Clinic/Center with taxonomy code 261QX0100X with a focus in Occupational Medicine

The provider's CLIA number is 22D0913122 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on September 01, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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