Bostongene Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BOSTONGENE CORPORATION

Practice address

95 Sawyer Rd Ste 500
Waltham, MA 02453-3462

Phone

(781) 467-6870

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Maria Tsiper

Title

VP Strategic Partnership

Phone

(617) 721-6222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Stephen R Lyle, M.D., PH.D.

  • Anatomic Pathology Physician
  • Burlington, MA
  • NPI 1598750234
  NPD
• Nathan H. Fowler, M.D.

  • Hematology & Oncology Physician
  • Houston, TX
  • NPI 1548475650
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1053980276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SAWYER RD STE 500",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533462",
            "telephone_number": "781-467-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SAWYER RD STE 500",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533462",
            "telephone_number": "781-467-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTONGENE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "TSIPER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "VP STRATEGIC PARTNERSHIP",
        "authorized_official_telephone_number": "617-721-6222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Sports & Shoulder Center, LLC
• Boston Surgery Center, LLC
• Boston West Cardiology
• Boston West Cardiology PC
• Heather M Boston, MA
• Alexis Jean Boulanger, DPT
• Lauren Elizabeth Bourdon, M.ED., BCBA, LABA
• Courtney Lee Bourne, ATL2371
• Anne Marie Bourque, NP
• Karin Bowers, OTR/L

• Clinical Medical Laboratory in Waltham, MA
• Providers in Waltham, MA by specialty
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.