NPIMap

Organization Active NPI

Boston Urogyn

  • Health Service Clinic/Center
  • Wellesley, MA
National Provider Identifier
1982080537
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
204833 Issued in MA
Legal business name
BOSTON UROGYN
Practice address
70 Walnut St
Wellesley, MA 02481-2135
Phone
(617) 340-6446
Fax
(617) 674-3440
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Abraham Morse, MD
Title
Physician
Phone
(617) 340-6446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 204833 MA Primary

Addresses

Primary practice location

70 Walnut St
Wellesley, MA 02481-2135

Mailing address

70 Walnut St
Wellesley, MA 02481-2135
Phone (617) 340-6446

National Provider Directory

National Provider Directory
Tax ID family
Boston Urogyn2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

70 Walnut St
Wellesley Hills, MA 02481
Phone (617) 340-6446

Interoperability endpoints

  • Direct secure messaging: kohli.neeraj.kohli@direct.partners.masshiway.net
  • Direct secure messaging: shaw.kristin.kohli@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1982080537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812135",
            "telephone_number": "617-340-6446",
            "fax_number": "617-674-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812135",
            "telephone_number": "617-340-6446",
            "fax_number": "617-674-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON UROGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "617-340-6446",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": "204833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.