NPIMap

Organization Active NPI

Amitabha Ghosh Roy, M.D., P.C.

  • Specialist
  • Milton, MA
National Provider Identifier
1467668343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32910 Issued in MA
Legal business name
AMITABHA GHOSH ROY, M.D., P.C.
Practice address
100 Highland St Ste 204
Milton, MA 02186-3875
Phone
(617) 696-1510
Fax
(617) 696-2437
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amitabha Ghosh Roy, M.D.NPI 1598743742
Title
President
Phone
(617) 696-1510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32910 MA Primary

Addresses

Primary practice location

100 Highland St Ste 204
Milton, MA 02186-3875

Mailing address

100 Highland St Ste 204
Milton, MA 02186-3875
Phone (617) 696-1510

Other identifiers 1

IdentifierTypeStateIssuer
9701508MedicaidMA

National Provider Directory

National Provider Directory

Locations

100 Highland St
Ste 204
Milton, MA 02186
Phone (617) 696-1510

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467668343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST STE 204",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863875",
            "telephone_number": "617-696-1510",
            "fax_number": "617-696-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST STE 204",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863875",
            "telephone_number": "617-696-1510",
            "fax_number": "617-696-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITABHA GHOSH ROY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHOSH ROY",
        "authorized_official_first_name": "AMITABHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-696-1510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "32910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9701508",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.