NPIMap

Organization Active NPI

Boris Balson, PC

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Brookline, MA
National Provider Identifier
1144490988
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
151394 Issued in MA
Legal business name
BORIS BALSON, PC
Practice address
1180 Beacon St Ste 6a
Brookline, MA 02446-3806
Phone
(617) 731-1203
NPI assigned
Mar 7, 2008
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Vera Caccavaro
Title
Office Manager
Phone
(781) 933-3734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 151394 MA Primary

Addresses

Primary practice location

1180 Beacon St Ste 6a
Brookline, MA 02446-3806

Mailing address

50-56 Broadlawn Park Apt 404
Chestnut Hill, MA 02467-3511
Phone (617) 731-1203

Other identifiers 2

IdentifierTypeStateIssuer
9786465MedicaidMA
M17374OtherBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1144490988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50-56 BROADLAWN PARK APT 404",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673511",
            "telephone_number": "617-731-1203",
            "fax_number": "617-731-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 6A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "617-731-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS BALSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "CACCAVARO",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-933-3734"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "MA",
            "license": "151394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9786465",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M17374",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.