Active NPI
Ouzama N Nicholson, M.D.
- Pediatric Infectious Diseases Physician
- Boston, MA
National Provider Identifier
1235250382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 210658
- Practice address
- Partners AIDS Research Center
149 13TH Street
Boston, MA 02119 - Phone
- (617) 724-8332
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | 210658 | MA | Primary |
Addresses
Primary practice location
Partners AIDS Research Center
149 13TH Street
Boston, MA 02119
Mailing address
332 Rutland Rd
Freeport, NY 11520-1720
Phone (617) 724-8332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210658 | MA | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235250382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 RUTLAND RD",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115201720",
"telephone_number": "617-724-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARTNERS AIDS RESEARCH CENTER",
"address_2": "149 13TH STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02119",
"telephone_number": "617-724-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "OUZAMA",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "MA",
"license": "210658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.