Boston Breast Diagnostic Center LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

BOSTON BREAST DIAGNOSTIC CENTER LLC

Practice address

165 Worcester St
Wellesley, MA 02481-3615

Phone

(800) 476-0577

Fax

(978) 975-3181

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Catherine Magurn

Title

Clinic Administrator

Phone

(617) 553-5305

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elsie Levin, MD

  • Diagnostic Radiology Physician
  • Wellesley Hills, MA
  • NPI 1447236161
  Medicare reassignment NPD
• Jordana Phillips, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1477767028
  Medicare reassignment

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1811222920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16A ELECTRONICS AVE",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233376",
            "telephone_number": "978-777-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024813615",
            "telephone_number": "800-476-0577",
            "fax_number": "978-975-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON BREAST DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "MAGURN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "617-553-5305"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Bolter, PH.D.
• Dean Bonneau, DPT
• Omega M Bonnell-Bradley, PA
• John Bordiuk, MD
• Mitchell Robert Bornstein, PHD.
• Boston Eyelid Surgery LLC
• Boston Hernia & Pilonidal Center PLLC
• Boston Interventional Orthopedics LLC
• Boston Kaigo Helpers LLC
• Boston Pelvic Health and Wellness PC

• Mammography Clinic/Center in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Mammography Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.