Boston Hernia & Pilonidal Center PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BOSTON HERNIA & PILONIDAL CENTER PLLC

Practice address

20 Walnut St Ste 100
Wellesley, MA 02481-2104

Phone

(617) 466-3373

Fax

(857) 259-4807

NPI assigned

Jul 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael Reinhorn, MD

Title

Manager

Phone

(617) 466-3373

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Kortney Hodgson, PA-C

  • Physician Assistant
  • Wellesley, MA
  • NPI 1477976611

  NH

  Medicare reassignment Care Compare group
• Lauren Ott, PA-C

  • Physician Assistant
  • Wellesley, MA
  • NPI 1841672029

  NH

  Medicare reassignment Care Compare group
• Anna K Raftery, PA-C

  • Physician Assistant
  • Newton, MA
  • NPI 1083233852
  Medicare reassignment
• Haley Sykes, PA-C

  • Physician Assistant
  • Boston, MA
  • NPI 1194410506
  NPD (past)

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1407333511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LONGFELLOW RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761216",
            "telephone_number": "978-460-1374",
            "fax_number": "857-259-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALNUT ST STE 100",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812104",
            "telephone_number": "617-466-3373",
            "fax_number": "857-259-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Tsienneto Rd",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030381557",
            "country_code": "US",
            "telephone_number": "603-399-6998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOSTON HERNIA & PILONIDAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-21",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "REINHORN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-466-3373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omega M Bonnell-Bradley, PA
• John Bordiuk, MD
• Mitchell Robert Bornstein, PHD.
• Boston Breast Diagnostic Center LLC
• Boston Eyelid Surgery LLC (Plastic Surgery Partners)
• Boston Interventional Orthopedics LLC
• Boston Kaigo Helpers LLC
• Boston Pelvic Health and Wellness PC
• Boston Private Nursing LLC
• Boston Retina, PLLC

• Surgery Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.