Individual provider Active NPI

Robert Joseph Barboza, CRNA

  • Certified Registered Nurse Anesthetist
  • Boston, MA
National Provider Identifier
1568463495
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
136876 Issued in MA
Practice address
243 Charles St
Anesthesia Office
Boston, MA 02114-3002
Phone
(617) 523-7900
NPI assigned
Aug 2, 2005
Last updated
Mar 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 136876 MA Primary

Addresses

Primary practice location

243 Charles St
Anesthesia Office
Boston, MA 02114-3002

Mailing address

350 Grange Park
Bridgewater, MA 02324-2392
Phone (508) 697-5876

Other identifiers 1

IdentifierTypeStateIssuer
12442929OtherMACAQH ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
136876MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2017 Accepting new patients
JJM Medical Services, PC CurrentSince Jan 1, 2022 Accepting new patients
D & G Associates,Inc. Past Accepting new patients

Locations

900 Cummings Ctr
Ste 122U
Beverly, MA 01915
Phone (978) 922-4670

321 Billerica Rd
Chelmsford, MA 01824
Phone (978) 256-3219

333 Elm St
Dedham, MA 02026
Phone (781) 214-6590

145 West St
Milford, MA 01757
Phone (508) 381-5600

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

90 New State Hwy
Raynham, MA 02767
Phone (508) 823-7473

1440 Main St
Waltham, MA 02451
Phone (781) 891-9300

171 Interstate Dr
Ste 1
West Springfield, MA 01089
Phone (413) 737-5500

300 Grove St
Worcester, MA 01605
Phone (508) 754-0700

400 10th St E
Waconia, MN 55387

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1568463495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GRANGE PARK",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242392",
            "telephone_number": "508-697-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "address_2": "ANESTHESIA OFFICE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-523-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOZA",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "136876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "12442929",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.