Boston Food Allergy Center LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BOSTON FOOD ALLERGY CENTER LLC

Practice address

88 Belfort St
Portland, ME 04103-1258

Phone

(207) 807-4308

NPI assigned

Aug 5, 2019

Organization subpart

No

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

Authorized official

Name

John Leung, M.DNPI 1447328711

Title

Owner

Phone

(617) 804-6767

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• John Leung, M.D.

  • Gastroenterology Physician
  • Boston, MA
  • NPI 1447328711

  Allergy & Immunology

  NPD (past) Authorized official

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1467007609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NASSAU STREET UNIT 1906",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111587",
            "telephone_number": "178-046-7676",
            "fax_number": "877-726-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BELFORT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031258",
            "telephone_number": "207-807-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON FOOD ALLERGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-804-6767",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE CERTIFICATION",
            "identifier": "230907",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DI1807",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Cote Bornstein, LCSW
• Thomas Bosch-Willett
• Caitlin Ann Bosse, PA-C
• Tiffany Bossie, AUD
• Boston Child Study Center - Maine, P.C.
• Boston Ocular Prosthetics Inc
• Cody Bothel, PA-C
• Joel L Botler, MD
• Meghan E Botler, ACNP
• Timothy Noel Botler, M.D.

• Health Service Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Health Service Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.