NPIMap

Organization Active NPI

Boston Podiatry Services PC

  • Podiatrist
  • Rockland, MA
National Provider Identifier
1649358193
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1529 Issued in MA
Legal business name
BOSTON PODIATRY SERVICES PC
Practice address
28 Pacific St
Rockland, MA 02370
Phone
(781) 878-4517
Fax
(781) 878-9378
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Dr. James S Chrzan, DPMNPI 1336272699
Title
President Owner
Phone
(781) 878-4517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1529 MA Primary

Addresses

Primary practice location

28 Pacific St
Rockland, MA 02370

Mailing address

PO Box 342
28 Pacific St
Rockland, MA 02370
Phone (781) 878-4517

Other identifiers 4

IdentifierTypeStateIssuer
712279OtherTUFTS
339792MedicaidMA
333445OtherHARVARD PILGRIM
Y70676OtherBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060406000166 MA Part B Supplier - Clinic/Group Practice 7911916747 Receives reassigned benefits from 1 practitioner
Practice locations: Hyannis, MA; Rockland, MA

National Provider Directory

National Provider Directory

Locations

185 Pilgrim Rd
#1
Boston, MA 02215
Phone (617) 632-0908

800 Falmouth Rd
Ste 102A
Mashpee, MA 02649
Phone (508) 539-1200

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1649358193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "address_2": "28 PACIFIC ST",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "02370",
            "telephone_number": "781-878-4517",
            "fax_number": "781-878-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PACIFIC ST",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "02370",
            "telephone_number": "781-878-4517",
            "fax_number": "781-878-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PODIATRY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "CHRZAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "781-878-4517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "712279",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339792",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "333445",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y70676",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.