Organization Active NPI

Ma Ortho Spine, PLLC

  • Medical Specialty Clinic/Center
  • Brighton, MA
National Provider Identifier
1669360277
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MA ORTHO SPINE, PLLC
Practice address
697 Cambridge St Ste 205
Brighton, MA 02135-2897
Phone
(844) 733-3774
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Dr. Ross Sherban, DO
Title
Manager
Phone
(844) 733-3774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

697 Cambridge St Ste 205
Brighton, MA 02135-2897

Mailing address

697 Cambridge St Ste 205
Brighton, MA 02135-2897
Phone (844) 733-3774

National Provider Directory

National Provider Directory

Locations

697 Cambridge St
Ste 205
Brighton, MA 02135
Phone (617) 782-3030

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1669360277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 CAMBRIDGE ST STE 205",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352897",
            "telephone_number": "844-733-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 CAMBRIDGE ST STE 205",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352897",
            "telephone_number": "844-733-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA ORTHO SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "SHERBAN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "844-733-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.