Active NPI
Orthopedic Surgery of Quincy Inc
- Orthopaedic Surgery Physician
- Quincy, MA
National Provider Identifier
1063527299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC SURGERY OF QUINCY INC
- Practice address
- 300 Congress Street
Suite 308
Quincy, MA 02169 - Phone
- (617) 773-7457
- Fax
- (617) 773-0299
- NPI assigned
- Aug 20, 2006
- 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
- Charles A Dicecca, M.D.
- Title
- M.D./Sole Owner
- Phone
- (617) 773-7457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
300 Congress Street
Suite 308
Quincy, MA 02169
Mailing address
300 Congress Street
Suite 308
Quincy, MA 02169
Phone (617) 773-7457
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 705664 | Other | MA | TUFTS |
| 9707808 | Medicaid | MA | |
| M11024 | Other | MA | MA BCBS |
National Provider Directory
National Provider DirectoryLocations
300 Congress St
Ste 308
Quincy, MA 02169
Phone (617) 773-3745
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Foxboro, MA
- NPI 1750362737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485907200000",
"number": "1063527299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CONGRESS STREET",
"address_2": "SUITE 308",
"city": "QUINCY",
"state": "MA",
"postal_code": "02169",
"telephone_number": "617-773-7457",
"fax_number": "617-773-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CONGRESS STREET",
"address_2": "SUITE 308",
"city": "QUINCY",
"state": "MA",
"postal_code": "02169",
"telephone_number": "617-773-7457",
"fax_number": "617-773-0299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC SURGERY OF QUINCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2017-02-01",
"status": "A",
"authorized_official_last_name": "DICECCA",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "M.D./SOLE OWNER",
"authorized_official_telephone_number": "617-773-7457",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "705664",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9707808",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BCBS",
"identifier": "M11024",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.