1. Home
  2. Directory
  3. Massachusetts
  4. Medford
  5. Clinic Center
  6. NPI Profile

TUFTS UNIVERSITY HEALTH SERVICE
NPI 1669658712
Clinic/Center - Health Service in Medford, MA

Active since January 18, 2008CLIA 22D0690692 · Certificate of Compliance
124 PROFESSORS ROW, MEDFORD, MA 02155(617) 627-3350(617) 627-3592 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2022, Jul 21, 2022 (2 updates tracked since 2022).

About Tufts University Health Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TUFTS UNIVERSITY HEALTH SERVICE (NPI 1669658712) is a healthcare organization registered as a health service in Medford, Massachusetts and active in the NPI registry since January 2008. The organization holds a CLIA Certificate of Compliance certificate valid through September 15, 2026 and lists Marie Caggiano, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1669658712
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameTUFTS UNIVERSITY HEALTH SERVICE
Location Address124 PROFESSORS ROWMedford, MA 02155-5816
Mailing Address124 Professors RowMedford, MA 02155-5816 · (617) 627-3350 · Fax (617) 627-3592
Phone(617) 627-3350
Fax(617) 627-3592
Organization SubpartNo
Authorized OfficialMarie CaggianoMedical Director · (617) 627-3350
Enumeration DateJanuary 18, 2008
Last NPPES UpdateSeptember 14, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1669658712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
124 PROFESSORS ROW, Medford, MA 02155
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 22D0690692

Tufts University Health Service Clinical Laboratory · Medford, MA
Active · expires Sep 15, 2026
CLIA Number22D0690692
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorIrina Dubinchik
Laboratory Phone(617) 627-2109
Laboratory LocationTufts University Health Service Clinical Laboratory124 Professors Row, Medford, MA 02155
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN A MYERS M.D.
Pediatrics (Adolescent Medicine)
124 PROFESSORS ROW
MEDFORD, MA 02155
Middlesex County (617) 627-3350
KATHLEEN M O'DEA P. A. - C.
Physician Assistant
124 PROFESSORS ROW
MEDFORD, MA 02155
Middlesex County (617) 627-3350
MS. SUSAN FAY MAHONEY APRN, BC
Registered Nurse (Psychiatric/Mental Health, Adult)
124 PROFESSORS ROW, TUFTS UNIVERSITY HEALTH SERVICE
MEDFORD, MA 02155
Middlesex County (617) 627-3350
MS. ZARA KONARSKI PMHCNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
124 PROFESSORS ROW
MEDFORD, MA 02155
Middlesex County (617) 627-3350
LESLIE ANNE BROWN-VELAZQUEZ PA-C, MHP
Physician Assistant
124 PROFESSORS ROW
MEDFORD, MA 02155
Middlesex County (617) 627-3350
JANIE POLLACK MD
Internal Medicine
124 PROFESSORS ROW
MEDFORD, MA 02155
Middlesex County (617) 627-3350
LISA KEEGAN AGPCNP-BC, WHNP-BC
Nurse Practitioner (Primary Care)
124 PROFESSORS ROW
MEDFORD, MA 02155
Middlesex County (617) 627-3350
SHAYAN HASHMI MPAS
Physician Assistant
124 PROFESSORS ROW
MEDFORD, MA 02155
Middlesex County (617) 627-3350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tufts University Health Service's NPI number?

The NPI number for Tufts University Health Service is 1669658712. It was assigned to this organization in the NPPES registry on January 18, 2008.

Where is Tufts University Health Service located?

Tufts University Health Service is located at 124 Professors Row, Medford, MA 02155. The listed phone number is (617) 627-3350.

What is Tufts University Health Service's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Tufts University Health Service hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D0690692) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tufts University Health Service was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.