Organization Active NPI

Boston Common Podiatry Inc

  • Podiatrist
  • Boston, MA
National Provider Identifier
1982651733
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BOSTON COMMON PODIATRY INC
Practice address
264 Beacon St
Sutie 201
Boston, MA 02116-1236
Phone
(617) 262-2266
NPI assigned
May 27, 2006
Last updated
Sep 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Jordana Szpiro, D.P.M.NPI 1043285646
Title
President
Phone
(617) 973-6799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

264 Beacon St
Sutie 201
Boston, MA 02116-1236

Mailing address

264 Beacon St
Suite 201
Boston, MA 02116-1236
Phone (617) 262-2266

Other identifiers 2

IdentifierTypeStateIssuer
602604OtherMATUFTS HEALTH PLAN
Y77335OtherMABLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802001502 MA Part B Supplier - Clinic/Group Practice 5496726671 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

264 Beacon St
Ste 201
Boston, MA 02116
Phone (617) 262-2262

1565 Main St
Ste 202
Tewksbury, MA 01876
Phone (978) 690-1010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13518/brand/1/csg/1/fhir/r4

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1982651733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 BEACON ST",
            "address_2": "SUITE 201",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161236",
            "telephone_number": "617-262-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACON ST",
            "address_2": "SUTIE 201",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161236",
            "telephone_number": "617-262-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON COMMON PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "SZPIRO",
        "authorized_official_first_name": "JORDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-973-6799",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "602604",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Y77335",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.