Active NPI
Richard Najarian
- Durable Medical Equipment & Medical Supplies
- Waltham, MA
National Provider Identifier
1194879395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RICHARD NAJARIAN
- Doing business as
- Bruce Medical Supply
- Practice address
- 411 Waverley Oaks Rd
Ste 154
Waltham, MA 02452-8447 - Phone
- (781) 894-6262
- Fax
- (781) 894-9519
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Barbara A Foster
- Title
- Manager
- Phone
- (781) 894-6262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
411 Waverley Oaks Rd
Ste 154
Waltham, MA 02452-8447
Mailing address
411 Waverley Oaks Rd
Ste 154
Waltham, MA 02452-8447
Phone (781) 894-6262
Other names 1
- Bruce Medical Supply
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033523 | MA | DME Supplier - Medical Supply Company | 5890814685 | Practice locations: Waltham, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Richard Najarian | Heat & Cold Applications|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Voice Prosthetics|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
411 Waverley Oaks Rd
Ste 154
Waltham, MA 02452
Phone (781) 894-6262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1194879395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 WAVERLEY OAKS RD",
"address_2": "STE 154",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024528447",
"telephone_number": "781-894-6262",
"fax_number": "781-894-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 WAVERLEY OAKS RD",
"address_2": "STE 154",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024528447",
"telephone_number": "781-894-6262",
"fax_number": "781-894-9519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD NAJARIAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "781-894-6262",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bruce Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.