Orthobiologics Associates Boston LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ORTHOBIOLOGICS ASSOCIATES BOSTON LLC

Practice address

1110 Washington Street
Suite 203
Dorchester, MA 02124-9998

Phone

(352) 415-3200

Fax

(727) 286-6204

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Gerald A Mastaw Jr., MD

Title

Ceo

Phone

(352) 415-3200

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1649059932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 SPRING HILL DR.",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064558",
            "telephone_number": "352-415-3200",
            "fax_number": "352-398-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WASHINGTON STREET",
            "address_2": "SUITE 203",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021249998",
            "telephone_number": "352-415-3200",
            "fax_number": "727-286-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOBIOLOGICS ASSOCIATES BOSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "MASTAW",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-415-3200",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Oppler, MSW
• Optimum Care Physical Therapy & Rehabilitation, Inc.
• Christine Orlik, LICSW
• Caroline A Orofo, RN,BSN
• Abelardo Ortega
• Orthobiologics Associates Mass, LLC
• Ana Ortiz
• Darcey Osborn, LCSW
• Ashlei Osborne
• Jeffrey Osborne

• General Practice Physician in Dorchester, MA
• Providers in Dorchester, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.