Medford Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MEDFORD SURGERY CENTER LLC

Practice address

170 Governors Ave Ste 100
Medford, MA 02155-1643

Phone

(800) 258-4674

NPI assigned

Mar 18, 2020

Last updated

Apr 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Delmore

Title

Cfo

Phone

(617) 376-7400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Listed as

Medford Surgery CenterCCN 22C0001085

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467

  Member Of

  NPD member
• Pratt Orthopaedic Associates, Inc

  • Orthopaedic Surgery Physician
  • Boston, MA
  • NPI 1528107380

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Charles Cassidy, M.D.

  • Orthopaedic Hand Surgery Physician
  • Boston, MA
  • NPI 1053351585
  NPD (past)

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1073149365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CONGRESS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GOVERNORS AVE STE 100",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551643",
            "telephone_number": "800-258-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "DELMORE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-376-7400"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medford Healthcare Group, LLC
• Medford Main Street Dental P.C.
• Medford Medical Laboratory Inc.
• Medford Optical Shop, Inc.
• Medford Square Dentistry and Implants LLC
• Medford TLC Dental Group, LLC
• Diego Medina Jr., PHARMD
• Meghan Dowd Murray Licsw LLC
• Melrosewakefield Healthcare, Inc.
• Melrosewakefield Healthcare, Inc.

• Ambulatory Surgical Clinic/Center in Medford, MA
• Providers in Medford, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.

Verify at the official NPI Registry.