Organization Active NPI

Metropolitan Regenerative and Rehabilitation Medicine, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Wellesley, MA
National Provider Identifier
1063985737
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
METROPOLITAN REGENERATIVE AND REHABILITATION MEDICINE, PLLC
Practice address
332 Washington St Ste 260
Wellesley, MA 02481-6204
Phone
(781) 705-2480
Fax
(781) 705-2443
NPI assigned
Jan 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Dr. Chiawen Liang, MDNPI 1891945366
Title
President
Phone
(781) 705-2480

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

332 Washington St Ste 260
Wellesley, MA 02481-6204

Mailing address

332 Washington St Ste 260
Wellesley, MA 02481-6204
Phone (781) 705-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190222000389 MA Part B Supplier - Clinic/Group Practice 6305185133 Receives reassigned benefits from 1 practitioner
Practice locations: Wellesley, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1063985737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST STE 260",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816204",
            "telephone_number": "781-705-2480",
            "fax_number": "781-705-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST STE 260",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816204",
            "telephone_number": "781-705-2480",
            "fax_number": "781-705-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN REGENERATIVE AND REHABILITATION MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-06",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "CHIAWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-705-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.