Organization Active NPI

Boston Cardiovascular Associates, P.C.

  • Cardiovascular Disease Physician
  • Roxbury Crossing, MA
National Provider Identifier
1003998477
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Dec 23, 2009

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
690848OtherMATUFTS
9707727MedicaidMA
M17822OtherMABXBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.