NPIMap

Organization Active NPI

Greater Boston Gastroenterology

  • Ambulatory Surgical Clinic/Center
  • Framingham, MA
National Provider Identifier
1003721911
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GREATER BOSTON GASTROENTEROLOGY
Practice address
492 Old Connecticut Path Ste 200
Framingham, MA 01701-4583
Phone
(601) 214-5172
Fax
(508) 620-6483
NPI assigned
Aug 17, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER BOSTON GASTROENTEROLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Andres D Mogollon, MD
Title
Medical Director
Phone
(601) 214-5172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

492 Old Connecticut Path Ste 200
Framingham, MA 01701-4583

Mailing address

492 Old Connecticut Path Ste 200
Framingham, MA 01701-4583
Phone (601) 214-5172

National Provider Directory

National Provider Directory
Tax ID family
Steven N Fine MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

492 Old Connecticut Path
Ste 200
Framingham, MA 01701

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1003721911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 OLD CONNECTICUT PATH STE 200",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014583",
            "telephone_number": "601-214-5172",
            "fax_number": "508-620-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 OLD CONNECTICUT PATH STE 200",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014583",
            "telephone_number": "601-214-5172",
            "fax_number": "508-620-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON GASTROENTEROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER BOSTON GASTROENTEROLOGY",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "MOGOLLON",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-214-5172",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.