Benjamin Adam Olenchock, M.D, PH.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

239526 Issued in MA

Practice address

75 Francis St
Boston, MA 02115-6110

Phone

(617) 525-6841

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1821297755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAMPTON RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-525-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENCHOCK",
        "first_name": "BENJAMIN",
        "middle_name": "ADAM",
        "credential": "M.D, PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "232403",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "239526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Daniel Oldan
• Peter Olds, M.D.
• Olea Therapy, PLLC
• Sian Jennifer Oleary, CRNA
• Olejo Inc.
• Nicolette A Oleng, MD
• Elizabeth Olesen
• Mariusz Olesiak, PA-C
• Elyse Anne Olesinski, MD, MPH
• Caroline Amanda Olesky

• Cardiovascular Disease Physician in Boston, MA
• Providers in Boston, MA by specialty
• Cardiovascular Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.