Organization Active NPI

Boston Orthopedic & Sport Medicine

  • Specialist
  • Brighton, MA
National Provider Identifier
1356688170
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
45262 Issued in MA
Legal business name
BOSTON ORTHOPEDIC & SPORT MEDICINE
Practice address
1505 Commonwealth Ave
Suite 340
Brighton, MA 02135-3605
Phone
(617) 782-7772
NPI assigned
Jan 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Mrs. Carol K. Ritter
Title
Office Manager
Phone
(617) 782-7772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 45262 MA Primary

Addresses

Primary practice location

1505 Commonwealth Ave
Suite 340
Brighton, MA 02135-3605

Mailing address

1505 Commonwealth Ave
Suite 340
Brighton, MA 02135-3605
Phone (617) 782-7772

Other identifiers 1

IdentifierTypeStateIssuer
9740376MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1356688170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 COMMONWEALTH AVE",
            "address_2": "SUITE 340",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353605",
            "telephone_number": "617-782-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 COMMONWEALTH AVE",
            "address_2": "SUITE 340",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353605",
            "telephone_number": "617-782-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ORTHOPEDIC & SPORT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-782-7772",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "45262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9740376",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.