Active NPI
Abiodun Mafolasire
- Surgery Physician
- Boston, MA
National Provider Identifier
1316467012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 272660
- Practice address
- 110 Francis St Ste 9B
Boston, MA 02215-5501 - Phone
- (617) 632-9236
- NPI assigned
- Jun 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 272660 | MA | Primary |
Addresses
Primary practice location
110 Francis St Ste 9B
Boston, MA 02215-5501
Mailing address
110 Francis St Ste 9B
Boston, MA 02215-5501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272660 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Boston, MA
- NPI 1043250616
-
- Surgery Physician
- Boston, MA
- NPI 1720037385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1316467012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 FRANCIS ST STE 9B",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 FRANCIS ST STE 9B",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155501",
"telephone_number": "617-632-9236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAFOLASIRE",
"first_name": "ABIODUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-23",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "272660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.