Boston Surgical Group, Inc.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

53160 Issued in MA

Legal business name

BOSTON SURGICAL GROUP, INC.

Practice address

77 Turnpike Rd
Southborough, MA 01772-2110

Phone

(508) 481-0300

Fax

(617) 752-3690

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elliot Lach, MDNPI 1508876715

Title

Owner

Phone

(508) 480-8883

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Elliot Lach, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Southborough, MA
  • NPI 1508876715
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1508085028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GASLIGHT LN",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025540",
            "telephone_number": "508-480-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 TURNPIKE RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722110",
            "telephone_number": "508-481-0300",
            "fax_number": "617-752-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON SURGICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "LACH",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-480-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "53160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shennelle Bingham
• Mariah Black, RN, BSN, MSN, FNP-C
• Elissa Katherine Blom
• Board Certified Footcare LLC (Paula Angelini, DPM)
• Catherine Mary Borella, PHARMD
• Lauren Rose Botelho, MSN, FNP-BC, RD, LDN
• Chelsea Bradway-Francis, MS. ED
• Regina Brady
• Adam Bressler, MS
• Marie E. Briasco, N.P.

• Plastic and Reconstructive Surgery Physician in Southborough, MA
• Providers in Southborough, MA by specialty
• Plastic and Reconstructive Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.