NPIMap

Organization Active NPI

Boston University General Surgical Associates, Inc.

  • Surgery Physician
  • Boston, MA
National Provider Identifier
1104865567
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES, INC.
Practice address
1 Boston Medical Ctr PL # C500
Boston, MA 02118-2908
Phone
(617) 638-8605
Fax
(617) 638-8607
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Jennifer F. Tseng, MD
Title
President
Phone
(617) 414-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1 Boston Medical Ctr PL # C500
Boston, MA 02118-2908

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118-2690

Other identifiers 2

IdentifierTypeStateIssuer
110072211AMedicaidMA
3089279MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513000398 MA Part B Supplier - Clinic/Group Practice 9830183763 Receives reassigned benefits from 168 practitioners
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

1 Boston Medical Ctr Pl
#500
Boston, MA 02118

725 Albany St
#3B
Boston, MA 02118
Phone (617) 638-7358

725 Albany St
Ste 6B
Boston, MA 02118
Phone (617) 414-8054

731 Harrison Ave
Boston, MA 02118
Phone (617) 414-6809

88 Newton St
#4400
Boston, MA 02118
Phone (617) 638-8556

732 Harrison Ave
#3
Boston, MA 02118
Phone (617) 534-4967

725 Albany St
#6B
Boston, MA 02118
Phone (617) 638-6525

88 East Newton St
Ste C500
Boston, MA 02118

720 Harrison Ave
Ste 700
Boston, MA 02118
Phone (617) 638-8488

725 Albany St
Lowr Lvl
Boston, MA 02118

725 Albany St
Ste 8C
Boston, MA 02118
Phone (617) 414-4841

732 Harrison Ave
Fl 3W
Boston, MA 02118

88 East Newton St
#500
Boston, MA 02118
Phone (617) 638-8411

732 Harrison Ave
Fl W
Boston, MA 02118

720 Harrison Ave
Boston, MA 02118
Phone (617) 638-7460

725 Albany St
Ste 3A
Boston, MA 02118
Phone (617) 414-4861

725 Albany St
Fl 3
Boston, MA 02118
Phone (617) 414-4861

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 211

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

View all 211

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1104865567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL # C500",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908",
            "telephone_number": "617-638-8605",
            "fax_number": "617-638-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "TSENG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-414-8016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110072211A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089279",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.