NPIMap

Organization Active NPI

Medical Care Affiliates

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1619080355
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL CARE AFFILIATES
Practice address
780 Boylston St
Plaza One
Boston, MA 02119
Phone
(617) 262-1500
Fax
(617) 262-7015
NPI assigned
Aug 16, 2006
Organization subpart
Yes
Parent organization
BOSTON UNIVERSITY AFFILIATED PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Ravin Emerson Davidoff Jr., M.D.
Title
Medical Director
Phone
(617) 638-9557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

780 Boylston St
Plaza One
Boston, MA 02119

Mailing address

660 Harrison Ave
Gambro Buildint
Boston, MA 02118
Phone (617) 262-1500

National Provider Directory

National Provider Directory
Part of
BMC Affiliated Physicians Inc

Locations

780 Boylston St
Ste 1
Boston, MA 02199
Phone (617) 262-1500

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1619080355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 HARRISON AVE",
            "address_2": "GAMBRO BUILDINT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-262-1500",
            "fax_number": "857-453-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 BOYLSTON ST",
            "address_2": "PLAZA ONE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02119",
            "telephone_number": "617-262-1500",
            "fax_number": "617-262-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE AFFILIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOSTON UNIVERSITY AFFILIATED PHYSICIANS INC",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "DAVIDOFF",
        "authorized_official_first_name": "RAVIN",
        "authorized_official_middle_name": "EMERSON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-638-9557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 25, 2011; 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.