Active NPI
Boston Cardiovascular Associates, P.C.
- Cardiovascular Disease Physician
- Roxbury Crossing, MA
National Provider Identifier
1003998477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- BOSTON CARDIOVASCULAR ASSOCIATES, P.C.
- Practice address
- 125 Parker Hill Ave
Ste 500
Roxbury Crossing, MA 02120-2847 - Phone
- (617) 735-9200
- Fax
- (617) 735-9230
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald Izzi, M.D.
- Title
- President
- Phone
- (617) 735-9200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
125 Parker Hill Ave
Ste 500
Roxbury Crossing, MA 02120-2847
Mailing address
125 Parker Hill Ave
Ste 500
Roxbury Crossing, MA 02120-2847
Phone (617) 735-9200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690848 | Other | MA | TUFTS |
| 9707727 | Medicaid | MA | |
| M17822 | Other | MA | BXBS |
National Provider Directory
National Provider DirectoryLocations
125 Parker Hill Ave
#500
Boston, MA 02120
125 Parker Hill Ave
Ste 430
Boston, MA 02120
Phone (617) 738-7300
125 Parker Hill Ave
Ste 500
Roxbury Crossing, MA 02120
Phone (617) 735-9200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261526400000",
"number": "1003998477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PARKER HILL AVE",
"address_2": "STE 500",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021202847",
"telephone_number": "617-735-9200",
"fax_number": "617-735-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PARKER HILL AVE",
"address_2": "STE 500",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021202847",
"telephone_number": "617-735-9200",
"fax_number": "617-735-9230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON CARDIOVASCULAR ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2009-12-23",
"status": "A",
"authorized_official_last_name": "IZZI",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-735-9200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "690848",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9707727",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "M17822",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roxbury Crossing, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.