Organization Active NPI

Boston Urogyn

  • Obstetrics & Gynecology Physician
  • Wellesley, MA
National Provider Identifier
1215684477
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BOSTON UROGYN
Practice address
70 Walnut St
Wellesley, MA 02481-2135
Phone
(617) 340-6446
Fax
(617) 674-3440
NPI assigned
Mar 8, 2022
Last updated
Mar 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Sara Friel
Title
Office Manager
Phone
(617) 340-6446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

70 Walnut St
Wellesley, MA 02481-2135

Mailing address

70 Walnut St
Wellesley, MA 02481-2135
Phone (617) 340-6446

Other identifiers 1

IdentifierTypeStateIssuer
1780986505OtherMABOSTON UROGYN

Other names 1

  • New England Center for Urogynecology Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1215684477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812135",
            "telephone_number": "617-340-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812135",
            "telephone_number": "617-340-6446",
            "fax_number": "617-674-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON UROGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "FRIEL",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-340-6446"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON UROGYN",
            "identifier": "1780986505",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Center for Urogynecology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.