Northeast Orthopedic Associates, PC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

Legal business name

NORTHEAST ORTHOPEDIC ASSOCIATES, PC

Practice address

200 Providence Hwy
Suite 202
Dedham, MA 02026-1881

Phone

(781) 461-4543

Fax

(781) 326-2030

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John J Tierney, DONPI 1417913047

Title

President

Phone

(781) 461-4543

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John J Tierney, DO

  • Specialist
  • Dedham, MA
  • NPI 1417913047
  Medicare reassignment Care Compare group NPD Authorized official
• Eugenio Martinez, MD

  • Physical Medicine & Rehabilitation Physician
  • Dedham, MA
  • NPI 1508846882
  Medicare reassignment Care Compare group NPD
• John T Hester, DPM

  • Sports Medicine Podiatrist
  • Brighton, MA
  • NPI 1881660066
  Medicare reassignment NPD
• Stephen B Murphy, M.D.

  • Orthopaedic Surgery Physician
  • Roxbury Crossing, MA
  • NPI 1144267899
  Medicare reassignment NPD
• Lauren Elizabeth Keating, PA-C

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Dedham, MA
  • NPI 1073023339
  NPD (past)
• Andrew J. Koropey, MD

  • Anesthesiology Physician
  • Westwood, MA
  • NPI 1477539187
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1902850357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415044",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415044",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE HWY",
            "address_2": "SUITE 202",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261881",
            "telephone_number": "781-461-4543",
            "fax_number": "781-326-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORTHOPEDIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-461-4543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Nicole Nola
• Victoria Nompleggi
• Sophie Ruth Norgaard, AUD
• Northeast Orthopaedic Alliance PLLC
• Northeast Orthopedic Associates, Inc. (Greater Boston Orthopedic Center)
• Todd Phillip Norton, DPT
• Nkechi E Nwachukwu, FNP
• Grace O'Callaghan, OT
• Elizabeth Mary O'Connor
• Elizabeth M O'Neill, M.D.

• Adult Reconstructive Orthopaedic Surgery Physician in Dedham, MA
• Providers in Dedham, MA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.