Organization Active NPI

Rogerson Orthopedic Appliances Inc

  • Prosthetic/Orthotic Supplier
  • Boston, MA
National Provider Identifier
1619969037
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Mar 26, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1504398MedicaidMA
700043OtherMAHARVARD PILGRIM
171354OtherMABLUE CROSS BLUE SHIELD
800359OtherMATUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930037662 MA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 4789701251 Practice locations: Boston, MA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Rogerson Orthopedic Appliances Inc483 Southampton St, Boston, MA 02127-27326172681135202 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 assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.