Boston Specialists - South Shore LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

BOSTON SPECIALISTS - SOUTH SHORE LLC

Practice address

75 Kneeland St FL 1
Boston, MA 02111-1901

Phone

(617) 804-6767

Fax

(877) 726-8492

NPI assigned

Jun 20, 2022

Organization subpart

No

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

Authorized official

Name

John Leung, MD

Title

Owner

Phone

(734) 846-4910

Specialties & licenses 2

Addresses

Other names 1

• Boston Specialists - South Shore LLC Doing business as

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1730810987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NASSAU ST UNIT 1906",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111587",
            "telephone_number": "617-804-6767",
            "fax_number": "877-726-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 KNEELAND ST FL 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111901",
            "telephone_number": "617-804-6767",
            "fax_number": "877-726-8492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Beacon St Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024463806",
            "country_code": "US",
            "telephone_number": "617-804-6767",
            "fax_number": "877-726-8492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Warren St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021353601",
            "country_code": "US",
            "telephone_number": "617-804-6767",
            "fax_number": "877-726-8492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Harrison Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111924",
            "country_code": "US",
            "telephone_number": "617-804-6767",
            "fax_number": "877-726-8492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOSTON SPECIALISTS - SOUTH SHORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-846-4910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Specialists - South Shore LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boston Specialists - South Shore LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Allergy & Immunology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.