Active NPI
Dominick Bosse
- Medical Oncology Physician
- Boston, MA
National Provider Identifier
1427598929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 269329
- Practice address
- 450 Brookline Ave
Dana 1230
Boston, MA 02215-5418 - Phone
- (617) 632-5456
- NPI assigned
- Mar 2, 2017
- Last updated
- Mar 2, 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 269329 | MA | Primary |
Addresses
Primary practice location
450 Brookline Ave
Dana 1230
Boston, MA 02215-5418
Mailing address
450 Brookline Ave
Dana 1230
Boston, MA 02215-5418
Phone (617) 632-5456
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 |
|---|---|---|---|
| 269329 | MA | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1427598929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"address_2": "DANA 1230",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"address_2": "DANA 1230",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-5456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSE",
"first_name": "DOMINICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MA",
"license": "269329",
"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 Mar 2, 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.