Active NPI
Rogerson Orthopedic Appliances Inc
- Prosthetic/Orthotic Supplier
- Boston, MA
National Provider Identifier
1619969037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ROGERSON ORTHOPEDIC APPLIANCES INC
- Practice address
- 483 Southampton St
Boston, MA 02127-2732 - Phone
- (617) 268-1135
- Fax
- (617) 269-3373
- NPI assigned
- Aug 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Paula A Rogerson
- Title
- Corporate Officer / Practice Manage
- Phone
- (617) 268-1135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
483 Southampton St
Boston, MA 02127-2732
Mailing address
483 Southampton St
P.O. Box 493
Boston, MA 02127-2732
Phone (617) 268-1135
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1504398 | Medicaid | MA | |
| 700043 | Other | MA | HARVARD PILGRIM |
| 171354 | Other | MA | BLUE CROSS BLUE SHIELD |
| 800359 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930037662 | MA | DME Supplier - Prosthetic Personnel | 4789701251 | Practice locations: Boston, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rogerson Orthopedic Appliances Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
483 Southampton St
South Boston, MA 02127
Phone (617) 268-1135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206489600000",
"number": "1619969037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 SOUTHAMPTON ST",
"address_2": "P.O. BOX 493",
"city": "BOSTON",
"state": "MA",
"postal_code": "021272732",
"telephone_number": "617-268-1135",
"fax_number": "617-269-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 SOUTHAMPTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021272732",
"telephone_number": "617-268-1135",
"fax_number": "617-269-3373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGERSON ORTHOPEDIC APPLIANCES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-22",
"last_updated": "2008-03-26",
"status": "A",
"authorized_official_last_name": "ROGERSON",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CORPORATE OFFICER / PRACTICE MANAGE",
"authorized_official_telephone_number": "617-268-1135",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1504398",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700043",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "171354",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "800359",
"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 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.