Active NPI
Greater Boston Orthopedic Associates LLC
- Orthopaedic Surgery Physician
- Quincy, MA
National Provider Identifier
1114273612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- GREATER BOSTON ORTHOPEDIC ASSOCIATES LLC
- Practice address
- 114 Whitwell St
Floor a-4
Quincy, MA 02169-1870 - Phone
- (781) 355-6622
- Fax
- (617) 376-5683
- NPI assigned
- Aug 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leonid Dabuzhsky, MD
- Title
- Owner
- Phone
- (781) 335-6622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
114 Whitwell St
Floor a-4
Quincy, MA 02169-1870
Mailing address
114 Whitwell St
Floor a-4
Quincy, MA 02169-1870
Phone (781) 355-6622
National Provider Directory
National Provider DirectoryLocations
114 Whitwell St
Fl A4
Quincy, MA 02169
Phone (781) 355-6622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343865600000",
"number": "1114273612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WHITWELL ST",
"address_2": "FLOOR A-4",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691870",
"telephone_number": "781-355-6622",
"fax_number": "617-376-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WHITWELL ST",
"address_2": "FLOOR A-4",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691870",
"telephone_number": "781-355-6622",
"fax_number": "617-376-5683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER BOSTON ORTHOPEDIC ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A",
"authorized_official_last_name": "DABUZHSKY",
"authorized_official_first_name": "LEONID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-335-6622",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.