Organization Active NPI

CRMB Physician Group PLLC

  • Reproductive Endocrinology Physician
  • Newton Corner, MA
National Provider Identifier
1154851368
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
CRMB PHYSICIAN GROUP PLLC
Doing business as
CCRM Boston
Practice address
300 Boylston
Newton Corner, MA 02459
Phone
(617) 449-9750
Fax
(617) 449-9750
NPI assigned
Jun 20, 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
Alison Zimon, MDNPI 1942243076
Title
Co-Medical Directore
Phone
(617) 449-9750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

300 Boylston
Newton Corner, MA 02459

Mailing address

300 Boylston Ste 300
Chestnut Hill, MA 02459

Other names 1

  • CCRM Boston Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2125498CCRM Boston300 Boylston St, Newton, MA 02459AccreditationSep 5, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154851368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BOYLSTON STE 300",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "02459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOYLSTON",
            "city": "NEWTON CORNER",
            "state": "MA",
            "postal_code": "02459",
            "telephone_number": "617-449-9750",
            "fax_number": "617-449-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRMB PHYSICIAN GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZIMON",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "CO-MEDICAL DIRECTORE",
        "authorized_official_telephone_number": "617-449-9750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCRM Boston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCRM Boston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton Corner, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.