Boston Center for Facial Aesthetics

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BOSTON CENTER FOR FACIAL AESTHETICS

Practice address

287 Middlesex Ave
Medford, MA 02155-5056

Phone

(617) 286-5780

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Timothy M Osborn, MDNPI 1962619684

Title

Owner

Phone

(617) 447-3980

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Marx Osborn, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Medford, MA
  • NPI 1962619684
  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1053025742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 MIDDLESEX AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555056",
            "telephone_number": "617-286-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MIDDLESEX AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555056",
            "telephone_number": "617-286-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON CENTER FOR FACIAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-447-3980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ines Bonilla, LMHC, CCM
• Wayne Bonkowski, DPT
• Sharon Lee Bonnellbradley, LICSW
• Borrelli Counseling LLC
• Boston Behavioral Health Associates Inc
• Boston Laser Eye Institute- Winchester LLC
• Boston Laser Medford LLC
• Boston Physical Therapy & Wellness, Inc
• Boston Vision Network One - Hallmark LLC
• Amy Louise Bourkiche, MSW

• Ambulatory Surgical Clinic/Center in Medford, MA
• Providers in Medford, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.