Maya Berdzenishvili MD LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MAYA BERDZENISHVILI MD LLC

Practice address

220 Commonwealth Ave Apt 4
Boston, MA 02116-2510

Phone

(617) 262-6402

Fax

(617) 262-6402

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Maya Berdzenishvili, MDNPI 1568557098

Title

Owner

Phone

(617) 262-0462

Specialties & licenses 2

Addresses

Other names 1

• Maya Berdzenishvili MD LLC Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 6

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

• Maya Berdzenishvili, M.D.

  • Pulmonary Disease Physician
  • Cambridge, MA
  • NPI 1568557098
  Medicare reassignment NPD Authorized official
• Anya V Cabot

  • Adult Health Nurse Practitioner
  • Malden, MA
  • NPI 1184261075
  Medicare reassignment NPD
• Marianne Fortier

  • Family Nurse Practitioner
  • Lynn, MA
  • NPI 1528788999
  Medicare reassignment NPD
• Nicole Hunt

  • Family Nurse Practitioner
  • Springfield, MA
  • NPI 1841695640
  Medicare reassignment NPD
• Dianne Macleod

  • Adult Health Nurse Practitioner
  • North Andover, MA
  • NPI 1831567767
  Medicare reassignment NPD
• Prisca Langa Ouellette, APRN

  • Gerontology Nurse Practitioner
  • Stoneham, MA
  • NPI 1598217564
  Medicare reassignment NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1477155158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 COMMONWEALTH AVE APT 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162510",
            "telephone_number": "617-262-6402",
            "fax_number": "617-262-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COMMONWEALTH AVE APT 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162510",
            "telephone_number": "617-262-6402",
            "fax_number": "617-262-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA BERDZENISHVILI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "BERDZENISHVILI",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-262-0462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maya Berdzenishvili MD LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Maya Berdzenishvili MD LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Folashade Popoola May, M.D.
• James Warren May Jr., MD
• Kara Elizabeth May, M.D.
• Tamar May, MSW, LICSW
• Taymaa May, MD, MSC
• Jacqueline Maya, MD
• Mayani Dental Group LLC
• Taylor Mayberry
• Erica L Mayer, MD MPH
• John E Mayer Jr., MD

• Pulmonary Disease Physician in Boston, MA
• Providers in Boston, MA by specialty
• Pulmonary Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.