Nedg Boston

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEDG BOSTON

Practice address

1 Milk St
Boston, MA 02109-5413

Phone

(508) 281-6464

Fax

(508) 281-6677

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Gokulan Thiagarajah, DO

Title

Director of Operations

Phone

(508) 962-2332

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1770108656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 TURNPIKE RD STE 330",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721791",
            "telephone_number": "508-281-6464",
            "fax_number": "508-281-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILK ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095413",
            "telephone_number": "508-281-6464",
            "fax_number": "508-281-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDG BOSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "THIAGARAJAH",
        "authorized_official_first_name": "GOKULAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "508-962-2332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF MA",
            "identifier": "1801936075",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Nebhnani, PT
• Anano Nebieridze, M.D.
• Simona Nedelcu, MD, PHD
• Zoran S. Nedeljkovic, M.D.
• Nedg - Back Bay PLLC
• Joice Sofia Nedio Da Silva, RN
• Sotirios Nedios, MD
• Catherine Maria Nee, NP
• Judy Whey-Lin Nee
• Julia Nee

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.