Boston Advanced Medicine Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

5244 Issued in MA

Legal business name

BOSTON ADVANCED MEDICINE INC

Practice address

281 Winter St FL 2
Waltham, MA 02451-8740

Phone

(781) 895-7900

NPI assigned

May 9, 2017

Organization subpart

No

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

Authorized official

Name

Erin Kotwicki

Title

Practice Administrator

Phone

(781) 895-7903

Specialties & licenses 1

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

Boston Advanced Medicine in3 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.

• Boston Advanced Medicine Inc

  • Pain Medicine Physician
  • Waltham, MA
  • NPI 1427103258
  NPD tax ID
• Boston Advanced Medicine Inc

  • Pain Medicine Physician
  • Waltham, MA
  • NPI 1558791475
  NPD tax ID

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1255867487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 WINTER ST FL 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518740",
            "telephone_number": "781-895-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 WINTER ST FL 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518740",
            "telephone_number": "781-895-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ADVANCED MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "KOTWICKI",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "781-895-7903"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "5244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Borgstrom, MD, MS
• Vivian Bornfriend, DMD
• Marina Borocov, NP
• Elizabeth Bosco, LCSW
• Boston Advanced Anesthesia, Inc
• Boston Advanced Medicine Inc
• Boston Advanced Medicine Inc
• Boston Brace International Inc.
• Boston Brace International Inc.
• Boston Clinical Laboratories, Inc

• All providers in Waltham, MA
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.