Active NPI
Wael I Nasr, M.D.
- Surgery Physician
- Boston, MA
National Provider Identifier
1669531034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 230635
- Practice address
- Boston Medical Center
One Boston Medical Center Palce
Boston, MA 02118 - Phone
- (617) 638-8442
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 230635 | MA | Primary |
Addresses
Primary practice location
Boston Medical Center
One Boston Medical Center Palce
Boston, MA 02118
Mailing address
333 Ricciuti Dr
Apt. # 1203
Quincy, MA 02169-6287
Phone (617) 638-8442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230635 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669531034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 RICCIUTI DR",
"address_2": "APT. # 1203",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696287",
"telephone_number": "617-638-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOSTON MEDICAL CENTER",
"address_2": "ONE BOSTON MEDICAL CENTER PALCE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASR",
"first_name": "WAEL",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "230635",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.