Organization Active NPI

Longwood Urological Associates PC

  • Specialist
  • Boston, MA
National Provider Identifier
1730303801
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31977 Issued in MA
Legal business name
LONGWOOD UROLOGICAL ASSOCIATES PC
Practice address
319 Longwood Ave
Boston, MA 02115-5728
Phone
(617) 277-0100
Fax
(617) 232-7571
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Michael C Kearney, MD
Title
Doctor
Phone
(617) 277-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 31977 MA Primary

Addresses

Primary practice location

319 Longwood Ave
Boston, MA 02115-5728

Mailing address

319 Longwood Ave
Boston, MA 02115-5728
Phone (617) 277-0100

National Provider Directory

National Provider Directory

Locations

319 Longwood Ave
Boston, MA 02115
Phone (617) 277-1400

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1730303801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155728",
            "telephone_number": "617-277-0100",
            "fax_number": "617-232-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155728",
            "telephone_number": "617-277-0100",
            "fax_number": "617-232-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD UROLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "617-277-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "31977",
            "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 Feb 5, 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.