AJINOMOTO CAMBROOKE, INC. — NPI 1124180443 (Licensed & Credentialed Medical Foods Supplier in AYER, MA)

CMS-1500 Box 24J / 33a • NPI

1124180443

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

335G00000X

Licensed & Credentialed Medical Foods Supplier

Box 32 Service Location & ZIP+4

4 COPELAND DR, AYER, MA, 01432-1751

✓ 9-Digit EDI 837 ZIP+4 (01432-1751)

Practice Phone & Referral Fax

(978) 862-1905

Fax: (508) 416-0067

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1124180443 (AJINOMOTO CAMBROOKE, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1124180443` (NPI-2 Organization / Facility)
Provider / Legal Name	AJINOMOTO CAMBROOKE, INC.
Plain-English Specialty	Licensed & Credentialed Medical Foods Supplier NUCC Code: `335G00000X` (Medical Foods Supplier)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4 COPELAND DR, AYER, MA, 01432-1751
Practice Telephone / Fax	Tel: (978) 862-1905 \| Fax: (508) 416-0067
Administrative Mailing Address	4 COPELAND DR, AYER, MA, 01432-1751
Enumeration & Last Sync	Enumerated: 2006-12-14 \| CMS Record Updated: 2026-09-30
Authorized Official	PAULA RICHARD (Treasurer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4 COPELAND DR, AYER, MA, 01432-1751

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Plain-English Taxonomy & CMS Crosswalk (335G00000X)

What Does Taxonomy Code 335G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335G00000X translates to:
"Licensed & Credentialed Medical Foods Supplier"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Medical Foods Supplier for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AJINOMOTO CAMBROOKE, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies	State: N/A \| License: `Verified` \| Primary: Secondary
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies	State: MA \| License: `MA-7335` \| Primary: Secondary
`335G00000X` — Medical Foods Supplier Plain English: Licensed & Credentialed Medical Foods Supplier	State: MA \| License: `MA-7335` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AJINOMOTO CAMBROOKE, INC. (NPI #1124180443)