Victoria Gorodetsky, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

253142 Issued in MA

Practice address

1200 Centre St
Department of Medicine
Boston, MA 02131-1011

Phone

(617) 363-8000

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hebrew Rehabilitation Center 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
• Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
• Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
• Hebrew Rehabilitation Center Long-term care hospital, Boston, MA, CCN 222007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hebrew Rehabilitation Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967

  MA

  Medicare reassignment Care Compare group NPD
• Hebrew Rehabilitation Center

  • Skilled Nursing Facility
  • Roslindale, MA
  • NPI 1013012319
  Care Compare group NPD
• Mikael Medical Associates Inc.

  • General Practice Physician
  • Concord, MA
  • NPI 1376743997
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641

  Hospital

  Care Compare affiliation
• Brigham & Womens Hospital, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1790717650

  Hospital

  Care Compare affiliation
• Brigham and Women'S Faulkner Hospital, Inc

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1578677811

  Hospital

  Care Compare affiliation
• Brigham and Women'S Faulkner Hospital, Inc.

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1033121025

  Hospital

  Care Compare affiliation
• Hebrew Rehabilitation Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346277696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 DEPOT ST",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018861931",
            "telephone_number": "978-692-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021311011",
            "telephone_number": "617-363-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORODETSKY",
        "first_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "253142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "NP5047",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Elisa Gorman, MD
• Luke Gormley, PHARMD
• Maureen Kearns Gormley, CPNP
• William B Gormley, MD
• Olivia Gorny
• Allan Harold Goroll, MD
• William Brian Gorsuch, PAC
• Rachael Renee Marie Roy Gorton, LCSW
• Simon Gortz
• Alaka Gorur, MD

• All providers in Boston, MA
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.