Boston Pedorthic Associates LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOSTON PEDORTHIC ASSOCIATES LLC

Practice address

1929 Commonwealth Ave
Brighton, MA 02135-5939

Phone

(617) 787-8779

Fax

(270) 747-8779

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Schuster

Title

Principal

Phone

(617) 787-8779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1275504102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 COMMONWEALTH AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355939",
            "telephone_number": "617-787-8779",
            "fax_number": "270-747-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 COMMONWEALTH AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355939",
            "telephone_number": "617-787-8779",
            "fax_number": "270-747-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PEDORTHIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "617-787-8779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Open MRI, LLC
• Boston Orthopaedic and Spine LLC
• Boston Orthopaedic and Spine LLC
• Boston Orthopaedic and Sport Medicine, Inc.
• Boston Orthopedic & Sport Medicine
• Boston Public Health Commission
• Johnny Bou Saba
• Lauren Boudreau, D.O.
• Andre P Boulogne, DC
• Judith Bowlby

• Durable Medical Equipment & Medical Supplies in Brighton, MA
• Providers in Brighton, 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 Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.