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 10 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043767577, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 4 + 6 + 1 + 4 + 5 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1043767577.

Other Providers at the Same Location


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

Internal Medicine (Infectious Disease)
677 HUNTINGTON AVE, HSPH-DEPT. OF BIOSTATISTICS
BOSTON, MA 02115
Pediatrics
677 HUNTINGTON AVE
BOSTON, MA 02115
Anesthesiology
677 HUNTINGTON AVE
BOSTON, MA 02115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043767577, enumerated 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.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.