Boston Endoscopy Center, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

ADMQ Issued in MA

Legal business name

BOSTON ENDOSCOPY CENTER, LLC

Doing business as

Boston Endoscopy Center

Practice address

175 Worcester St
Wellesley Hills, MA 02481-5514

Phone

(781) 591-7813

Fax

(617) 754-0820

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Judkins

Title

Vice President

Phone

(615) 240-3770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boston Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Listed as

Boston Endoscopy Center LLCCCN 22C0001036

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1477802387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WORCESTER ST",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024815514",
            "telephone_number": "781-591-7813",
            "fax_number": "617-754-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "JUDKINS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-240-3770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MA",
            "license": "ADMQ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005392",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boston Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Bennett, OTR/L
• Nancy F Berkowitz, APRNBC
• Laila Eva Bigonet, LISCW
• Lauren Blaustein, M.A.
• Boston Endoscopy Center Inc.
• Boston Premier Psychiatry PLLC
• Michael C Bosworth, MD
• Karl R Bower, L.AC.
• Marianne Brandon, PHD
• Kathryn Brank

• Endoscopy Clinic/Center in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Endoscopy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.