Burlington OB-GYN Assoc Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BURLINGTON OB-GYN ASSOC INC

Practice address

101 Cambridge Street
Burlington, MA 01803

Phone

(781) 272-4667

Fax

(781) 270-4196

NPI assigned

Apr 3, 2006

Last updated

Jan 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Rotolo, MD

Title

Owner

Phone

(781) 272-4667

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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.

• Burlington OBGYN PC

  • Obstetrics & Gynecology Physician
  • Burlington, MA
  • NPI 1912612029
  NPPES parent name

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Bennett, MD

  • Obstetrics & Gynecology Physician
  • Burlington, MA
  • NPI 1043839244
  Medicare reassignment Care Compare group NPD
• Heather Ranney Love, MD

  • Student in an Organized Health Care Education/Training Program
  • Springfield, MA
  • NPI 1356878722
  Medicare reassignment Care Compare group NPD
• Anju T Nayar, M.D.

  • Obstetrics & Gynecology Physician
  • Burlington, MA
  • NPI 1013170505
  Medicare reassignment Care Compare group NPD
• Jennifer L Shields, MD

  • Obstetrics & Gynecology Physician
  • Burlington, MA
  • NPI 1336761717
  Medicare reassignment Care Compare group NPD
• Lauren Tassone, DO

  • Student in an Organized Health Care Education/Training Program
  • West Islip, NY
  • NPI 1649891565

  MA

  Medicare reassignment Care Compare group NPD
• Elena Beth Brown, MD

  • Obstetrics & Gynecology Physician
  • Burlington, MA
  • NPI 1144545690
  Medicare reassignment NPD
• Yoon K Cho, MD

  • Obstetrics & Gynecology Physician
  • Medford, MA
  • NPI 1861880395
  Medicare reassignment NPD
• Kelly Anne Pastor, P.A.

  • Physician Assistant
  • Burlington, MA
  • NPI 1942641816
  Medicare reassignment
• Marc F Freedman, M.D.

  • Obstetrics & Gynecology Physician
  • Burlington, MA
  • NPI 1003855347
  NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1750343208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE STREET",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01803",
            "telephone_number": "781-272-4667",
            "fax_number": "781-270-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE STREET",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01803",
            "telephone_number": "781-272-4667",
            "fax_number": "781-270-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON OB-GYN ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "ROTOLO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-272-4667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "M10928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "705594",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9720286",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Burlington, MA
• Providers in Burlington, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.