NPIMap

Organization Active NPI

Dana-Farber Cancer Institute, Inc.

Doing business as Boutique

  • Durable Medical Equipment & Medical Supplies
  • Boston, MA
National Provider Identifier
1225079940
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DANA-FARBER CANCER INSTITUTE, INC.
Doing business as
Boutique
Practice address
44 Binney Street
Boston, MA 02115
Phone
(617) 632-3000
Fax
(617) 632-4620
NPI assigned
Jun 10, 2006
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DANA-FARBER CANCER INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Paul Dembinski
Title
Sr. Director of PFS
Phone
(617) 632-3935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MA Primary

Addresses

Primary practice location

44 Binney Street
Boston, MA 02115

Mailing address

PO Box 9101
Brookline, MA 02447-9101
Phone (617) 632-3935

Other practice location 1

450 Brookline Ave
Boston, MA 02215-5450
Phone (617) 632-2211

Other identifiers 4

IdentifierTypeStateIssuer
AA18050OtherMAHPHC
1202383MedicaidMA
397454OtherMABCBS MA
699114OtherMATUFTS

Other names 1

  • Boutique Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930078398 MA DME Supplier - HospitalDME Supplier - Pharmacy 9133038904 Practice locations: Boston, MA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Friends Place450 Brookline Ave, Boston, MA 02215-5418(617) 632-2211 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Surgical Dressings|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 1987

National Provider Directory

National Provider Directory
Tax ID family
Binney Psychology Assoc15 organizations share this tax ID, including this one
Part of
Binney Psychology Assoc

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 360

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 360

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1225079940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9101",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024479101",
            "telephone_number": "617-632-3935",
            "fax_number": "617-632-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BINNEY STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-632-3000",
            "fax_number": "617-632-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Brookline Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155450",
            "country_code": "US",
            "telephone_number": "617-632-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANA-FARBER CANCER INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANA-FARBER CANCER INSTITUTE, INC.",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "DEMBINSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PFS",
        "authorized_official_telephone_number": "617-632-3935"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA18050",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1202383",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "397454",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "699114",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.

Verify at the official NPI Registry.