Organization Active NPI

Rong J Guan, MD LLC

  • Gastroenterology Physician
  • Boston, MA
National Provider Identifier
1003169327
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
150086 Issued in MA
Legal business name
RONG J GUAN, MD LLC
Practice address
30 Kneeland St FL 5
Boston, MA 02111-1528
Phone
(617) 290-9881
Fax
(617) 350-6555
NPI assigned
Oct 24, 2012
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rong J Guan, MD
Title
Member
Phone
(617) 290-9881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 150086 MA Primary

Addresses

Primary practice location

30 Kneeland St FL 5
Boston, MA 02111-1528

Mailing address

30 Kneeland Street, 5TH Floor
Boston, MA 20111-1528
Phone (617) 290-9881

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1003169327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KNEELAND STREET, 5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "201111528",
            "telephone_number": "617-290-9881",
            "fax_number": "617-350-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KNEELAND ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111528",
            "telephone_number": "617-290-9881",
            "fax_number": "617-350-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONG J GUAN, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "GUAN",
        "authorized_official_first_name": "RONG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-290-9881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "150086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.