Boston DME Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOSTON DME SUPPLY LLC

Practice address

385 Court St Ste 305
Plymouth, MA 02360-7304

Phone

(617) 209-2555

NPI assigned

May 11, 2023

Last updated

Dec 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahsan Raza Jaffri

Title

Owner/Manager

Phone

(617) 209-2555

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syed Hassan Mubarik

  • Durable Medical Equipment & Medical Supplies
  • Plymouth, MA
  • NPI 1457048969
  NPD
• Neil Charles Carter, PHD

  • Psychologist
  • Ocean Bluff, MA
  • NPI 1588768980
  NPD (past)

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1265122329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 COURT ST STE 305",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607304",
            "telephone_number": "617-209-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 COURT ST STE 305",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607304",
            "telephone_number": "617-209-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON DME SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "JAFFRI",
        "authorized_official_first_name": "AHSAN",
        "authorized_official_middle_name": "RAZA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "617-209-2555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryanne C Bombaugh, M.D.
• Richard J Bond Jr., LICSW
• Boodah, Inc (Mindful Paths Psychological Testing)
• Rose Borges, M.A.
• Anthony Thomas Borgia, DDS
• Boston Psychiatric Services PLLC
• Boston Vamc
• Rachel Boswell, RN,CLC,IBCLC
• Catherine Boudreau
• Kristina Boudreaux, LICSW

• Durable Medical Equipment & Medical Supplies in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.