Individual provider Active NPI

Ashton Paul Frulla, NP-C

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1235657560
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308406 Issued in NY
Practice address
441 Stuart St Ste 404
Boston, MA 02116-5019
Phone
(857) 317-2057
Fax
(857) 317-2811
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308406 NY Primary

Addresses

Primary practice location

441 Stuart St Ste 404
Boston, MA 02116-5019

Mailing address

826 9TH Ave Apt 3RS
New York, NY 10019-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190501002787 NY Practitioner - Nurse Practitioner 9931441565 Reassigns benefits to 1 organization
I20240717004027 MA Practitioner - Nurse Practitioner 9931441565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Institute of Boston PCGroup PAC ID 7315247178, 4 clinicians

Practice addresses (Care Compare)

441 Stuart St
Boston, MA 02116-5019
Phone (857) 317-2057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308406NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Institute of Boston PC CurrentSince Sep 1, 2024 Accepting new patients
Bobby Buka, M.D., P.C. CurrentSince Apr 1, 2019 Accepting new patients
Derm Specs of PA PLLC PastSince Feb 25, 2024 Accepting new patients
MKL Medical PLLC PastSince Oct 1, 2019 Accepting new patients
MKL Medical PLLC PastSince Mar 24, 2024 Accepting new patients

Locations

441 Stuart St
Ste 404
Boston, MA 02116
Phone (857) 317-2057

441 Stuart St
Ste 4
Boston, MA 02116
Phone (617) 266-6020

1027 46th Ave
Fl 1
Long Island City, NY 11101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1235657560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 9TH AVE APT 3RS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 STUART ST STE 404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165019",
            "telephone_number": "857-317-2057",
            "fax_number": "857-317-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRULLA",
        "first_name": "ASHTON",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.