Ruben Oganesov, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

56569 Issued in MA

Practice address

39 Brighton Ave
Allston, MA 02134-2301

Phone

(617) 783-5783

Fax

(617) 783-1519

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Center of Greater Mattapan

  • Physical Therapist
  • Mattapan, MA
  • NPI 1144425059
  NPD (past) Authorized official
• Az Physical Therapy Corporation

  • Physical Therapist
  • Newton, MA
  • NPI 1588787774
  NPD (past)
• Genesis Healthcare Management Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Allston, MA
  • NPI 1275857732
  NPD (past)
• Physical Therapy of Mattapan Square, LLC

  • Physical Therapy Clinic/Center
  • Mattapan, MA
  • NPI 1447609938
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457562050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BRIGHTON AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342301",
            "telephone_number": "617-783-5783",
            "fax_number": "617-783-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BRIGHTON AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342301",
            "telephone_number": "617-783-5783",
            "fax_number": "617-783-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGANESOV",
        "first_name": "RUBEN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "56569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057291",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9762736",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa O'Connor
• Ashleigh Elizabeth O'Haire
• Chukwuma Obi, PHARMD.
• Chinomso Odimegwu
• Jennifer Ofstein, LMT
• Yewande Ogunkoya Tenc, LCSW
• Stephen Oliver
• Emmanuel Nigel Omere
• Maria Garcia Orbita, LICSW
• Taylor Jane Orlando

• Physical Medicine & Rehabilitation Physician in Allston, MA
• Providers in Allston, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.