Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
Organization Active NPI Obstetrics & Gynecology Physician · Needham, MA
NPI 1255818472 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1255818472
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS
- Practice address
- 392 Chestnut St
Needham, MA 02492-2411 - Phone
- (617) 754-1800
- NPI assigned
- Jul 20, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Alexandra Boer Kimball, MD
- Title
- Chief Executive Officer
- Phone
- (617) 632-7441
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 3
Practitioners 4
-
Linda Kleeman, MD
-
Samantha Deandrade, MD, MPH
-
Gabriela Gayer, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170628003015 | MA | Part B Supplier - Hospital Department(S) | 6305749987 |
Receives reassigned benefits from 560 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boston, MA; Winchester, MA; Waltham, MA; Stoneham, MA; Somerville, MA; Sandwich, MA; Quincy, MA; Plymouth, MA… |
National Provider Directory
- Tax ID family
- Associated Phys of Harvard
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
392 Chestnut St
Needham, MA 02492-2411
Mailing address
375 Longwood Ave Ste 3
Boston, MA 02215-5395
Phone (617) 632-7441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9782915 | Medicaid | MA |
Other names
- APHMFP OBGYN
Other providers in Needham, MA
- Carole Kramer Arsenault
- Kathleen Arsenault
- Bita Asghari
- Ashish Gupta MD LLC
- Ashley Morgenthal Psychology
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
- Paul H. Aswad
- June S Atkind
- Benjamin Atkins
All providers in Needham, MA · Obstetrics & Gynecology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.