Organization Active NPI

Boston MFM, LLC

  • Maternal & Fetal Medicine Physician
  • Brookline, MA
National Provider Identifier
1053657346
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
BOSTON MFM, LLC
Practice address
1 Brookline PL Ste 301
Brookline, MA 02445-7294
Phone
(617) 264-0364
Fax
(617) 264-0365
NPI assigned
Dec 14, 2012
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Benjamin Hamar, MD
Title
Cfo
Phone
(617) 823-4191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Maternal & Fetal Medicine Physician 207VM0101X NU Primary

Addresses

Primary practice location

1 Brookline PL Ste 301
Brookline, MA 02445-7294

Mailing address

1 Brookline PL Ste 301
Brookline, MA 02445-7294
Phone (617) 264-0364

National Provider Directory

National Provider Directory
Tax ID family
Boston MFM LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

29 Stiles Rd
Ste 204
Salem, NH 03079

Practitioners & affiliated clinicians

Practitioners 2

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": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1053657346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 301",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457294",
            "telephone_number": "617-264-0364",
            "fax_number": "617-264-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 301",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457294",
            "telephone_number": "617-264-0364",
            "fax_number": "617-264-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MFM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "HAMAR",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-823-4191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.