NPIMap

Organization Active NPI

Boston Public Health Commission

  • Public Health or Welfare Agency
  • Boston, MA
National Provider Identifier
1114201605
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BOSTON PUBLIC HEALTH COMMISSION
Practice address
1010 Massachusetts Ave
Boston, MA 02118-2600
Phone
(617) 534-5264
Fax
(617) 534-7165
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Dr. Bisola Ojikutu, MD
Title
Executive Director
Phone
(617) 534-7166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1010 Massachusetts Ave
Boston, MA 02118-2600

Mailing address

1010 Massachusetts Ave
Boston, MA 02118-2600
Phone (617) 534-5264

Other identifiers 1

IdentifierTypeStateIssuer
001542401OtherMAMEDICARE

Other names 1

  • Asthma Home Visiting & Immunization Prog. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201218001824 MA Part B Supplier - Mass Immunization (Roster Biller Only) 2365571650 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boston, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Boston Public Health Commission4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

287R Western Ave
Allston, MA 02134

767 Albany St
Boston, MA 02118
Phone (617) 343-1103

1010 Massachusetts Ave
Fl Jim
Boston, MA 02118

1010 Massachusetts Ave
Boston, MA 02118
Phone (617) 419-3408

774 Albany St
Fl 4
Boston, MA 02118
Phone (617) 534-7411

69 Theodore Glynn Way
Boston, MA 02118

774 Albany St
Fl 3
Boston, MA 02118
Phone (617) 534-2185

785 Albany St
Boston, MA 02118
Phone (617) 438-1334

125 High St
Boston, MA 02110
Phone (617) 530-4381

794 Massachusetts Ave
Boston, MA 02118
Phone (617) 534-6178

109 Purchase St
Boston, MA 02110

300 Frontage Rd
Boston, MA 02118
Phone (617) 534-2490

512 Main St
Charlestown, MA 02129

58 Gibson St
Dorchester, MA 02122

1165 Blue Hill Ave
Dorchester Center, MA 02124

58 Dana Ave
Hyde Park, MA 02136

3345 Washington St
Jamaica Plain, MA 02130

3347 Washington St
Jamaica Plain, MA 02130

211 River St
Mattapan, MA 02126
Phone (617) 534-2922

85 Bragdon St
Roxbury, MA 02119

364 Warren St
Roxbury, MA 02119

61 Shirley St
Roxbury, MA 02119

101 W Broadway
South Boston, MA 02127

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1114201605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182600",
            "telephone_number": "617-534-5264",
            "fax_number": "617-534-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182600",
            "telephone_number": "617-534-5264",
            "fax_number": "617-534-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PUBLIC HEALTH COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "OJIKUTU",
        "authorized_official_first_name": "BISOLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-534-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "001542401",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asthma Home Visiting & Immunization Prog.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Asthma Home Visiting & Immunization Prog.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 24, 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.