MMDS of Boston LLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

MMDS OF BOSTON LLC

Practice address

48 Silver Lake Ave.
Newton, MA 02458-1111

Phone

(617) 244-9729

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Scott Grinley, M.ED.

Title

President, Ceo

Phone

(617) 244-9729

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

MMDS of Boston LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• MMDS of Boston, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Norwood, MA
  • NPI 1871672048
  NPD tax ID
• MMDS of Boston

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Manchester, NH
  • NPI 1295106136
  NPD tax ID

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1245440726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SILVER LAKE AVE.",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581111",
            "telephone_number": "617-244-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SILVER LAKE AVE.",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581111",
            "telephone_number": "617-244-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMDS OF BOSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "GRINLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "617-244-9729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Misialek, MD
• Liliana Barbosa Misteroni, BSW
• Catherine E Mitchell, LICSW
• Ellen Mittman, M.S., CCC-SLP
• Anna J Mitus, M.D.
• Leanne Thu Moczynski, RBT
• Ashley Elizabeth Mogabgab, P.T.
• Layal Mohammad
• Abhisekh Mohapatra, MD, MS
• Chelsea Moise

• Radiologic Technologist in Newton, MA
• Providers in Newton, MA by specialty
• Radiologic Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.