Boston Medical Group, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BOSTON MEDICAL GROUP, INC.

Practice address

4901 N.W. 17TH Way
Suite 202
Fort Lauderdale, FL 33309

Phone

(954) 229-1969

Fax

(954) 229-1994

NPI assigned

Mar 31, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Quoc H. Ha

Title

Director

Phone

(949) 735-8451

Specialties & licenses 1

Addresses

Tax ID family

Boston Medical Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Boston Medical Group, Inc.

  • Urology Physician
  • Maitland, FL
  • NPI 1174941884
  NPD tax ID
• Boston Medical Group, Inc.

  • Urology Physician
  • Coral Gables, FL
  • NPI 1255759965
  NPD tax ID

Locations

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1720406440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 N.W. 17TH WAY",
            "address_2": "SUITE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-229-1969",
            "fax_number": "954-229-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 N.W. 17TH WAY",
            "address_2": "SUITE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-229-1969",
            "fax_number": "954-229-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "QUOC",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-735-8451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Born Diagnostics, LLC
• Matthew J Borowski, CRNA
• Marta E Bosch, RPT
• Brenda Bosman
• Bruce Bostom, PHYSICIANS ASSISTANT
• Samantha Both, MS
• Vlaicu Alin Botoman, MD
• Mera Botros
• Melissa A Bottge
• Kara Botti

• Urology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.