CNV MW

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CNV MW

Practice address

31 Pine St Ste 204
Norfolk, MA 02056-1680

Phone

(617) 739-2100

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derya Bora Hazar, MD, MBRNPI 1659475366

Title

Senior Partner

Phone

(617) 739-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derya Bora Hazar, M.D.

  • Nephrology Physician
  • Dorchester Center, MA
  • NPI 1659475366
  Medicare reassignment Authorized official
• Siddharth Bhatt, MD

  • Nephrology Physician
  • Norfolk, MA
  • NPI 1881881258
  Medicare reassignment
• Steven M Spiegel, M.D.

  • Nephrology Physician
  • Natick, MA
  • NPI 1669538591
  Medicare reassignment

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1407321037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE ST STE 204",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561680",
            "telephone_number": "617-739-7100",
            "fax_number": "617-739-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PINE ST STE 204",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561680",
            "telephone_number": "617-739-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNV MW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "HAZAR",
        "authorized_official_first_name": "DERYA",
        "authorized_official_middle_name": "BORA",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "617-739-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBR"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Chichester, LICSW
• Cynthia Coates Chipman, RN
• Karen Clark, R.N.
• CNV Bidco LLC
• CNV Cape Cod LLC
• CNV SHC LLC
• James H. Collins Jr., D.M.D.
• Erin Corriea
• Elizabeth Craig
• Jean A Croll, OTR/L

• Nephrology Physician in Norfolk, MA
• Providers in Norfolk, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.