Individual provider Active NPI

Wojciech Bulczynski, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • North Easton, MA
National Provider Identifier
1164595765
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
206630 Issued in MA
Practice address
15 Roche Bros Way
North Easton, MA 02356
Phone
(781) 344-3535
Fax
(508) 535-0192
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 206630 MA Primary

Addresses

Primary practice location

15 Roche Bros Way
North Easton, MA 02356

Mailing address

15 Roche Bros Way
North Easton, MA 02356-1000
Phone (781) 344-3535

Other practice location 1

Newton Wellesley Orthopedic
2000 Washington St-Ste 341
Newton, MA 02462
Phone (617) 964-0024

Other practice location 2

Newton Wellesley Orthopedic
2000 Washington St-Ste 341
Newton, MA 02462
Phone (617) 964-0024

Other practice location 3

Newton Wellesley Orthopedic
2000 Washington St-Ste 341
Newton, MA 02462
Phone (617) 964-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000735 MA Practitioner - Orthopedic Surgery 9032186515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine North Orthopaedic Surgery, Inc.Group PAC ID 0547259095, 87 clinicians

Practice addresses (Care Compare)

1 Orthopedics Dr
Peabody, MA 01960-1668
Phone (978) 818-6350

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
206630MAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Care Physician Network LLC CurrentSince Jan 29, 2018 Accepting new patients
Orthopedic Care Physician Network, LLC Orthopaedic Surgery of the Spine CurrentSince Jan 29, 2018 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc CurrentSince Jan 3, 2022 Accepting new patients
Newton Wellesley Orthopedic Associates Inc Orthopaedic Surgery of the Spine CurrentSince Aug 23, 2004 Accepting new patients
Lighthouse Surgical Suites, LLC CurrentSince Aug 23, 2004 Accepting new patients

Locations

2000 Washington St
Ste 341
Newton Lower Falls, MA 02462
Phone (617) 964-0024

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

15 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (401) 490-1939

1 Orthopedics Dr
Ste 2
Peabody, MA 01960
Phone (978) 818-6493

1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562

Interoperability endpoints

  • Direct secure messaging: wojciech.bulczynski.1@7605.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1164595765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561000",
            "telephone_number": "781-344-3535",
            "fax_number": "508-535-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "02356",
            "telephone_number": "781-344-3535",
            "fax_number": "508-535-0192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Newton Wellesley Orthopedic",
            "address_2": "2000 Washington St-Ste 341",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "02462",
            "country_code": "US",
            "telephone_number": "617-964-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Newton Wellesley Orthopedic",
            "address_2": "2000 Washington St-Ste 341",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "02462",
            "country_code": "US",
            "telephone_number": "617-964-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Newton Wellesley Orthopedic",
            "address_2": "2000 Washington St-Ste 341",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "02462",
            "country_code": "US",
            "telephone_number": "617-964-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULCZYNSKI",
        "first_name": "WOJCIECH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "206630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.