Active NPI
Laura Borodyansky, MD
- Gastroenterology Physician
- Brookline, MA
National Provider Identifier
1689865214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 237697
- Practice address
- 45 Longwood Ave
#602
Brookline, MA 02446-5244 - Phone
- (617) 840-7740
- NPI assigned
- Aug 8, 2007
- Last updated
- Aug 6, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 237697 | MA | Primary |
Addresses
Primary practice location
45 Longwood Ave
#602
Brookline, MA 02446-5244
Mailing address
45 Longwood Ave
#602
Brookline, MA 02446-5244
Phone (617) 840-7740
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110080184A | Medicaid | MA | |
| 1689865214 | Other | MA | BCBS OF MASSACHUSETTS |
| 0046123 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 953848-01 | Other | MA | NETWORK HEALTH |
| 1689865214 | Other | MA | TUFTS HEALTH PLAN |
| AA121284 | Other | MA | HARVARD PILGRIM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1689865214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 LONGWOOD AVE",
"address_2": "#602",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465244",
"telephone_number": "617-840-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 LONGWOOD AVE",
"address_2": "#602",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465244",
"telephone_number": "617-840-7740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORODYANSKY",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "237697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110080184A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MASSACHUSETTS",
"identifier": "1689865214",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0046123",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "953848-01",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "1689865214",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA121284",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
- Danit Bolotnikoff Hochman, MSW
- Michael Bonadio Jr., LMFT
- Sushma Boppana, M.D.
- Boris Balson, PC
- Boris Orkin,M.D.P.C.
- Nancy Ann Borstelmann, MSW, MPH, LICSW
- Boston Arthritis & Spinal Surgery, P.C.
- Boston Behavioral Medicine, LLC
- Boston Center for Psychotherapy Inc.
- Boston Evening Therapy Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.