Greater Boston Wellness Primary Care PC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

GREATER BOSTON WELLNESS PRIMARY CARE PC

Practice address

200 Providence Hwy
Dedham, MA 02026-1881

Phone

(781) 461-0660

NPI assigned

Jul 26, 2018

Organization subpart

No

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

Authorized official

Name

Dennis Teehan, MDNPI 1306006945

Title

MD

Phone

(781) 326-1464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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

• Dennis James Teehan Jr., M.D

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Boston, MA
  • NPI 1306006945

  MA

  Medicare reassignment Authorized official
• Marian Herbick, FNP

  • Family Nurse Practitioner
  • Dedham, MA
  • NPI 1114748019

  MA

  Medicare reassignment NPD
• Christian Aguilar, PA-C, RDN

  • Physician Assistant
  • Willimantic, CT
  • NPI 1902659337
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1073090692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 WALNUT ST STE 104",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601639",
            "telephone_number": "617-244-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261881",
            "telephone_number": "781-461-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON WELLNESS PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "TEEHAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "781-326-1464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Rashae Gray-Williams, PA
• Greater Boston Internal Medicine, PC
• Greater Boston Urology, LLC
• Greater Boston Urology, LLC
• Greater Boston Wellness Physicians
• Carol E Green, LIC. AC.
• Lorna Green
• Dominique Greenaway
• Kendra M Grimes, ANP, GNP
• Avi J Grunin, M.D.

• All providers in Dedham, MA
• Preventive Medicine/Occupational Environmental Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.