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COMMONWEALTH MEDICINE
NPI 1770142945
Public Health or Welfare in Worcester, MA

Active since June 11, 2019
55 LAKE AVE N, WORCESTER, MA 01655(617) 886-8264 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Commonwealth Medicine NPPES

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

COMMONWEALTH MEDICINE (NPI 1770142945), doing business as Cwm - Vaccine Program, is a healthcare organization registered as a public health or welfare in Worcester, Massachusetts and active in the NPI registry since June 2019. The organization lists Rosemarie Bonaventura, Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1770142945
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCOMMONWEALTH MEDICINE
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address529 Main St Fl 3Charlestown, MA 02129-1125 · (617) 886-8264
Phone(617) 886-8264
Organization SubpartYesParent: University Of Massachusetts Medical School
Authorized OfficialRosemarie BonaventuraDeputy Director · (617) 886-8013
Enumeration DateJune 11, 2019
✔ NPI 1770142945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
Also ListedClinic/Center · Public Health, State or LocalTaxonomy 261QP0905X
55 LAKE AVE N, Worcester, MA 01655
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Other Names 1

Doing Business AsCwm - Vaccine Program

Other Providers at the Same Location NPPES 20

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

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Commonwealth Medicine's NPI number?

The NPI number for Commonwealth Medicine is 1770142945. It was assigned to this organization in the NPPES registry on June 11, 2019. The provider is doing business as CWM - Vaccine Program.

Where is Commonwealth Medicine located?

Commonwealth Medicine is located at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (617) 886-8264.

What is Commonwealth Medicine's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Commonwealth Medicine was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.