Organization Active NPI

Belmont Medical Associates, Inc.

  • Gynecology Physician
  • Cambridge, MA
National Provider Identifier
1184867483
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
56978 Issued in MA
Legal business name
BELMONT MEDICAL ASSOCIATES, INC.
Practice address
725 Concord Ave
Suite 4100
Cambridge, MA 02138-1040
Phone
(617) 864-4108
Fax
(617) 547-5367
NPI assigned
Apr 16, 2009
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
BELMONT MEDICAL ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Janet Connors
Title
Billing Supervisor
Phone
(617) 864-4108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 47577 MA
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 56978 MA Primary

Addresses

Primary practice location

725 Concord Ave
Suite 4100
Cambridge, MA 02138-1040

Mailing address

725 Concord Ave
Suite 4100
Cambridge, MA 02138-1040
Phone (617) 864-4108

Other identifiers 1

IdentifierTypeStateIssuer
M12887OtherMABLUE CROSS BLUE SHIELD OF MASSACHUSETTS

National Provider Directory

National Provider Directory
Tax ID family
Belmont Medical Assoc Inc4 organizations share this tax ID, including this one
Part of
Belmont Medical Assoc Inc

Other organizations with this tax ID 3

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

Locations

725 Concord Ave
Ste 4100
Cambridge, MA 02138
Phone (617) 864-8822

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1184867483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE",
            "address_2": "SUITE 4100",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040",
            "telephone_number": "617-864-4108",
            "fax_number": "617-547-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE",
            "address_2": "SUITE 4100",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040",
            "telephone_number": "617-864-4108",
            "fax_number": "617-547-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELMONT MEDICAL ASSOCIATES, INC.",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "617-864-4108"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "47577",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "56978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "M12887",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.