Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

Organization Active NPI Urology Physician · Needham, MA

NPI 1902316136 · NPPES record last updated Sep 20, 2018

Key facts

NPI
1902316136
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
Legal business name
ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS
Practice address
100 West St
Needham, MA 02494
Phone
(781) 433-2110
NPI assigned
Oct 2, 2017
Organization subpart
No

Authorized official

Name
Alexandra B Kimball, MD
Title
President/Ceo
Phone
(617) 632-7441

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 580

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

View all 580

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20171116001335 MA Part B Supplier - Clinic/Group Practice 6305749987 Receives reassigned benefits from 41 practitioners
Practice locations: Milton, MA; Quincy, MA; Needham, MA; Lexington, MA; Dedham, MA; Cambridge, MA; Brookline, MA; Boston, MA

National Provider Directory

Locations

145 Rosemary St
Ste B
Needham Heights, MA 02494
Phone (781) 433-2110

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
208600000X MA
Vascular Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
2086S0129X MA
Urology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
208800000X MA Yes

Addresses

Primary practice location

100 West St
Needham, MA 02494

Mailing address

375 Longwood Ave
Boston, MA 02215-5395
Phone (617) 632-7441

Other practice location 1

199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 313-1450

Other practice location 2

148 Chestnut St
Needham, MA 02492-2505
Phone (781) 433-2110

Other practice location 3

110 Francis St
Boston, MA 02215-5501
Phone (617) 632-8788

Other identifiers

IdentifierTypeStateIssuer
9768157MedicaidMA

Other names

  • APHMFP-Surgery Doing business as

Other providers in Needham, MA

All providers in Needham, MA · Urology Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.