Foundation Medicine, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

22D2027531 Issued in MA

Legal business name

FOUNDATION MEDICINE, INC.

Practice address

150 2ND St
Cambridge, MA 02141-2115

Phone

(617) 418-2200

NPI assigned

Sep 19, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Bahareh Gurley

Title

Director, Revenue and Reimbursement

Phone

(781) 707-6322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Foundation Medicine, Inc.

  • Clinical Medical Laboratory
  • Boston, MA
  • NPI 1720688054

  O20120224000607

  Same enrollment

Locations

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1265714091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUMMER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101717",
            "telephone_number": "617-418-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 2ND ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021412115",
            "telephone_number": "617-418-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Summer St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022101717",
            "country_code": "US",
            "telephone_number": "617-418-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATION MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "BAHAREH",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE AND REIMBURSEMENT",
        "authorized_official_telephone_number": "781-707-6322",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "22D2027531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayte Forte, PH.D.
• Stephanie Fosbenner, M.D.
• Magdalena J. Fosse, M.A., M.S., PSYD
• Caitlin Foster, MD, MSC
• Rosalie A Foster, PTA
• Linda Ann Fournier, RN
• Jeb Thomas Fowler, PH.D.
• Cassandra Fox, RN, FNP-C
• Irving H Fox, M.D.
• Lisa J Fox

• Clinical Medical Laboratory in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.