Active NPI
Boston Community Pediatrics Inc
- Pediatrics Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BOSTON COMMUNITY PEDIATRICS INC
- Practice address
- 527 Albany St Ste 200
Boston, MA 02118-2511 - Phone
- (617) 934-6009
- Fax
- (617) 934-7102
- NPI assigned
- Sep 21, 2020
- Last updated
- Oct 8, 2020
- 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
- Robyn Riseberg, MD
- Title
- Authorized Official
- Phone
- (617) 934-6009
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
527 Albany St Ste 200
Boston, MA 02118-2511
Mailing address
527 Albany St Ste 200
Boston, MA 02118-2511
Phone (617) 934-6009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2204268 | Boston Community Pediatrics Inc | Certificate of waiver | Dec 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
527 Albany St
Boston, MA 02118
527 Albany St
#200
Boston, MA 02118
Phone (617) 934-6009
Interoperability endpoints
- https://api.platform.athenahealth.com/22231/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 15
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.
-
- Pediatrics Physician
- Boston, MA
- NPI 1770562282
-
- Pediatrics Physician
- Boston, MA
- NPI 1871835272
-
- Pediatric Nurse Practitioner
- Boston, MA
- NPI 1194071514
-
- Pediatrics Physician
- Cambridge, MA
- NPI 1801875380
-
- Pediatrics Physician
- Jamaica Plain, MA
- NPI 1760596654
-
- Pediatrics Physician
- Boston, MA
- NPI 1285217380
-
- Pediatrics Physician
- Chelsea, MA
- NPI 1336120823
-
- Pediatric Cardiology Physician
- Worcester, MA
- NPI 1356394472
-
- Clinical Social Worker
- Brookline, MA
- NPI 1487374484
-
- Clinical Child & Adolescent Psychologist
- Boston, MA
- NPI 1639059009
-
- Clinical Social Worker
- Boston, MA
- NPI 1265114839
-
- Clinical Social Worker
- Brookline, MA
- NPI 1902624836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602115200000",
"number": "1053927574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 ALBANY ST STE 200",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182511",
"telephone_number": "617-934-6009",
"fax_number": "617-934-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 ALBANY ST STE 200",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182511",
"telephone_number": "617-934-6009",
"fax_number": "617-934-7102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON COMMUNITY PEDIATRICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-21",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A",
"authorized_official_last_name": "RISEBERG",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "617-934-6009",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
- Boston Childrens Hospital
- Boston Childrens Hospital
- Boston Chinatown Neighborhood Center
- Boston Chiropractic Associates, Inc.
- Boston Common Podiatry Inc
- Boston Dental (Fred G. Boustany D.M.D.,PC)
- Boston Dental Esthetics LLC
- Boston Dental LLC
- Boston Dental Partners LLC (Washington Park Dental)
- Boston Dental Restorative Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.