Boston Ivf, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BOSTON IVF, INC.

Practice address

130 2ND Ave
Boston Ivf, Inc.
Waltham, MA 02451-1100

Phone

(781) 434-6500

Fax

(781) 434-6501

NPI assigned

Nov 14, 2006

Organization subpart

Yes

Parent organization

BOSTON IVF, INC.As reported in NPPES

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

Authorized official

Name

Mr. Derek M. Larkin, JD, MBA

Title

Director of Business

Phone

(781) 434-6500

Specialties & licenses 2

Addresses

Other names 1

• Boston Fertility & Gynecology Doing business as

Tax ID family

Boston Ivf Inc3 organizations share this tax ID, including this one

Part of

Boston Ivf Inc

Other organizations with this tax ID 2

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

• Boston Ivf, Inc.

  • Reproductive Endocrinology Physician
  • Waltham, MA
  • NPI 1326122839
  NPD tax ID
• Boston Ivf, Inc.

  • Clinical Medical Laboratory
  • Waltham, MA
  • NPI 1396821427
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Boston Ivf, Inc.

  • Reproductive Endocrinology Physician
  • Waltham, MA
  • NPI 1326122839
  NPPES parent name

Practitioners 2

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

• Kristen Page Wright, MD

  • Reproductive Endocrinology Physician
  • Lexington, MA
  • NPI 1730195512

  Reproductive Endocrinology

  NPD (past)
• Carleigh Nesbit, D.O.

  • Obstetrics Physician
  • Lebanon, NH
  • NPI 1285165860

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1154493559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 2ND AVE",
            "address_2": "BOSTON IVF, INC.",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511100",
            "telephone_number": "781-434-6500",
            "fax_number": "781-434-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 2ND AVE",
            "address_2": "BOSTON IVF, INC.",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511100",
            "telephone_number": "781-434-6500",
            "fax_number": "781-434-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON IVF, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOSTON IVF, INC.",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "LARKIN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS",
        "authorized_official_telephone_number": "781-434-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD, MBA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Fertility & Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boston Advanced Medicine Inc
• Boston Brace International Inc.
• Boston Brace International Inc.
• Boston Clinical Laboratories, Inc
• Boston Eye Surgery & Laser Center Trust
• Boston Ivf, Inc.
• Boston Ivf, Inc.
• Boston Ivf, Inc.
• Boston Out-Patient Surgical Suites, LLC
• Boston Paincare Center Inc

• All providers in Waltham, MA
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.