Greater Boston Medical Associates, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35058 Issued in MA

Legal business name

GREATER BOSTON MEDICAL ASSOCIATES, INC.

Practice address

211 West Street
Milford, MA 01757

Phone

(617) 782-4544

NPI assigned

Mar 13, 2007

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin Gelman, M.D.NPI 1093705725

Title

President

Phone

(617) 782-4544

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3094/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Martin L Gelman, M.D.

  • Nephrology Physician
  • Milford, MA
  • NPI 1093705725
  Medicare reassignment Authorized official
• Lauren Beraldi Abric, CNP

  • Family Nurse Practitioner
  • Milford, MA
  • NPI 1235591447
  Medicare reassignment
• Lynn Morriseau, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1891855391

  MA

  Medicare reassignment
• Suellen Duque, MSN, APRN, FNP-C

  • Internal Medicine Physician
  • Marlborough, MA
  • NPI 1427667526
  NPD (past)
• Kanwarjit Sidhu, MD

  • Cardiovascular Disease Physician
  • Milford, MA
  • NPI 1295727386
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1225161201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WEST STREET",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WEST STREET",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "617-782-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-782-4544",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "35058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111511",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marybeth Graves
• Alison Leigh Gray, MSW
• Michelle Marie Gray
• Pamela Gray
• Ann Grealish, DPM
• Greater Milford Ear Nose and Throat Head and Neck Surgery Inc
• Greater Milford Eye Associates, P.C.
• Hannah Dorothy Green
• Kaleighia Audrey Gloria Green
• Kelsey Green

• Specialist in Milford, MA
• Providers in Milford, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.