Boston Medical Group Pennsylvania, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BOSTON MEDICAL GROUP PENNSYLVANIA, P.C.

Practice address

100 S. Broad Street
Suite 2136
Philadelphia, PA 19110

Phone

(215) 972-7090

Fax

(215) 972-7097

NPI assigned

Mar 25, 2014

Last updated

Mar 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marianne C. Labarbera, M.D.

Title

Medical Director

Phone

(718) 981-4070

Specialties & licenses 1

Addresses

Tax ID family

Boston Medical Group Pennsylvania PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boston Medical Group Pennsylvania, P.C.

  • Urology Physician
  • Pittsburgh, PA
  • NPI 1336566652
  NPD tax ID

Locations

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1528485828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S. BROAD STREET",
            "address_2": "SUITE 2136",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19110",
            "telephone_number": "215-972-7090",
            "fax_number": "215-972-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S. BROAD STREET",
            "address_2": "SUITE 2136",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19110",
            "telephone_number": "215-972-7090",
            "fax_number": "215-972-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL GROUP PENNSYLVANIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "LABARBERA",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-981-4070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaie Bosse, ND
• Kristopher Bosse, MD
• John Vincent Bosso, MD
• Heather Bostancic, CRNA
• Boston Brace International Inc. (OP Specialty Bracing)
• Daniel Ward Boston
• Nasciya A Boston
• Eric Michael Bostwick, AUD
• Ben Boswell, M.D.
• Kyla Boswell

• Urology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.