Organization Active NPI

Burlington OBGYN PC

  • Obstetrics & Gynecology Physician
  • Burlington, MA
National Provider Identifier
1912612029
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BURLINGTON OBGYN PC
Practice address
101 Cambridge St Ste 160
Burlington, MA 01803-3767
Phone
(781) 272-4667
Fax
(781) 270-4196
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BURLINGTON OB-GYN ASSOC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Katie Lane
Title
Practice Manager
Phone
(781) 272-4667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

101 Cambridge St Ste 160
Burlington, MA 01803-3767

Mailing address

101 Cambridge St Ste 160
Burlington, MA 01803-3767
Phone (781) 272-4667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240722000798 MA Part B Supplier - Clinic/Group Practice 7113463662 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, MA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0723334Burlington OBGYN Associates101 Cambridge St, Burlington, MA 01803Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Burlington OB-GYN Assoc Inc

Locations

101 Cambridge St
Ste 160
Burlington, MA 01803
Phone (781) 272-4667

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1912612029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST STE 160",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033767",
            "telephone_number": "781-272-4667",
            "fax_number": "781-270-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST STE 160",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033767",
            "telephone_number": "781-272-4667",
            "fax_number": "781-270-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON OBGYN PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BURLINGTON OB-GYN ASSOC INC",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "781-272-4667"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.