Boston Regenerative Medicine LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

BOSTON REGENERATIVE MEDICINE LLC

Practice address

1985 Longwood Lake Mary Rd Ste 1007
Longwood, FL 32750-4674

Phone

(212) 777-0187

NPI assigned

Oct 10, 2025

Organization subpart

No

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

Authorized official

Name

Venkata Rao EmandiNPI 1083606453

Title

MD & Owner

Phone

(212) 777-0187

Specialties & licenses 1

Addresses

Other names 1

• BOSTON REGENERATIVE MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Venkata Rao Emandi, M.D.

  • Radiation Oncology Physician
  • Brooksville, FL
  • NPI 1083606453
  Medicare reassignment NPD Authorized official
• David Cheesman, DO

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1649485079
  Medicare reassignment NPD
• Candace Kettlehut, ARNP- FNP

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1679031975
  Medicare reassignment NPD

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1487520136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 LONGWOOD LAKE MARY RD STE 1007",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504674",
            "telephone_number": "212-777-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 LONGWOOD LAKE MARY RD STE 1007",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504674",
            "telephone_number": "212-777-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "EMANDI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "MD & OWNER",
        "authorized_official_telephone_number": "212-777-0187"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOSTON REGENERATIVE MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Hancock Bongiovanni, OTR/L
• Michelle A Bonnick, RN
• Stephanie Louise Borland, PT
• Logan Bornstein, LMHC
• Cherli Mar Boscana Rivera, BATCHELOR'S DEGREE
• Carolyn Bottomley, DDS
• Sheila Bou-Delacerda, MA, CCC-SLP
• Fatu Bouele
• Karina Evette Bourdier
• Kaitlin Bowen, MA, LMHC

• Radiation Oncology Physician in Longwood, FL
• Providers in Longwood, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.