NPIMap

Organization Active NPI

Gertrud M. Rastalsky MD LLC

  • Rheumatology Physician
  • Chestnut Hill, MA
National Provider Identifier
1144757337
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
235293 Issued in MA
Legal business name
GERTRUD M. RASTALSKY MD LLC
Practice address
822 Boylston St Ste 100
Chestnut Hill, MA 02467-2504
Phone
(617) 860-6388
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Barry Small
Title
Director of Operations
Phone
(617) 860-6388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 235293 MA Primary

Addresses

Primary practice location

822 Boylston St Ste 100
Chestnut Hill, MA 02467-2504

Mailing address

822 Boylston St Ste 100
Chestnut Hill, MA 02467-2504
Phone (617) 860-6388

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144757337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 BOYLSTON ST STE 100",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672504",
            "telephone_number": "617-860-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 BOYLSTON ST STE 100",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672504",
            "telephone_number": "617-860-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERTRUD M. RASTALSKY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "617-860-6388"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "235293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.