Active NPI
Andrew Lederman, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 282861
- Practice address
- 725 Albany Street
Shapiro 7, Suite B
Boston, MA 02118 - Phone
- (617) 638-8456
- NPI assigned
- Mar 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 282861 | MA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD21261 | ME | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 282861 | MA | Primary |
Addresses
Primary practice location
725 Albany Street
Shapiro 7, Suite B
Boston, MA 02118
Mailing address
801 Albany Street
FL Ground
Boston, MA 02119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110162911A | Medicaid | MA | |
| 3123973 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 754-5800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282861 | MA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Baptist Medical Associates, Inc. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100
Interoperability endpoints
- aledernam196974@direct.bilh.masshiway.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Roxbury Crossing, MA
- NPI 1609854991
Physical Medicine & Rehabilitation
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1801162862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ALBANY STREET",
"address_2": "FL GROUND",
"city": "BOSTON",
"state": "MA",
"postal_code": "02119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY STREET",
"address_2": "SHAPIRO 7, SUITE B",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-23",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "282861",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "ME",
"license": "MD21261",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MA",
"license": "282861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110162911A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3123973",
"state": "NH"
}
],
"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 Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.