BOSTON IVF, INC. (NPI# 1154493559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154493559 |
| Entity Type | Organization |
| Organization Name | BOSTON IVF, INC. |
| Other Organization Name | BOSTON FERTILITY & GYNECOLOGY |
| Practice Address |
130 2nd Ave Boston Ivf, Inc. Waltham MA 02451-1100 |
| Practice Telephone | 7814346500 |
| Practice Fax Number | 7814346501 |
| Mailing Telephone | 7814346500 |
| Mailing Fax Number | 7814346501 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-08-24 |
| Authorized Official Name | MR. DEREK M. LARKIN (DIRECTOR OF BUSINESS) |
| Authorized Official Telephone | 7814346500 |
| Authorized Official Credential | JD, MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | BOSTON IVF, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Boston Fertility & Gynecology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497831523 | Boston Ivf, Inc. | Clinic/Center | 130 2nd Ave, The Surgery Center of Waltham, Waltham, MA 02451-1100 | 2006-10-31 |
| 1396821427 | Boston Ivf, Inc. | Clinical Medical Laboratory | 130 2nd Ave, Boston Ivf, Inc. - Lab, Waltham, MA 02451-1100 | 2006-10-31 |
| 1326122839 | Boston Ivf, Inc. | Obstetrics & Gynecology | 130 2nd Ave, Boston Ivf, Inc., Waltham, MA 02451-1100 | 2006-10-24 |
| Street Address |
130 2ND AVE BOSTON IVF, INC. |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093760704 | Anaesthesia Associates of Massachusetts, PC | Anesthesiology | 130 2nd Ave, Waltham, MA 02451-1100 | 2006-05-23 |
| 1992157176 | Teryn Gorgone | Family Medicine | 130 2nd Ave, Waltham, MA 02451-1100 | 2016-07-12 |
| 1902167414 | Kristin Fabbri | Counselor | 130 2nd Ave, Waltham, MA 02451-1100 | 2012-05-31 |
| 1154525194 | Elizabeth Susan Blumberg | Counselor | 130 2nd Ave, Boston Ivf - Domar Center for Mind/body Health, Waltham, MA 02451-1100 | 2007-06-13 |
| 1497831523 | Boston Ivf, Inc. | Clinic/Center | 130 2nd Ave, The Surgery Center of Waltham, Waltham, MA 02451-1100 | 2006-10-31 |
| 1396821427 | Boston Ivf, Inc. | Clinical Medical Laboratory | 130 2nd Ave, Boston Ivf, Inc. - Lab, Waltham, MA 02451-1100 | 2006-10-31 |
| 1326122839 | Boston Ivf, Inc. | Obstetrics & Gynecology | 130 2nd Ave, Boston Ivf, Inc., Waltham, MA 02451-1100 | 2006-10-24 |
| 1215974506 | Merle Jay Berger | Obstetrics & Gynecology | 130 2nd Ave, Boston Ivf - The Waltham Center, Waltham, MA 02451-1100 | 2006-06-02 |
| 1801843438 | Karen Marie Fasciano | Psychologist | 130 2nd Ave, Boston Ivf - Domar Center, Waltham, MA 02451-1100 | 2006-05-28 |
| 1497701866 | Alan Stewart Penzias | Obstetrics & Gynecology | 130 2nd Ave, Boston Ivf - The Waltham Center, Waltham, MA 02451 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871712190 | Hee Man Chie | Obstetrics & Gynecology | 337 Bishops Forest Dr, Waltham, MA 02452-8805 | 2007-04-25 |
| 1942325758 | Paul Goldstein | Obstetrics & Gynecology | Private Healthcare System Inc., 1100 Winter Street, Waltham, MA 02451 | 2007-03-20 |
| 1588721245 | Alan Pinshaw | Obstetrics & Gynecology | 132 Bishops Forest Dr, Waltham, MA 02452-8807 | 2007-01-02 |
| 1265821045 | Maureen French | Obstetrics & Gynecology | 52 2nd Ave, Waltham, MA 02451-1127 | 2015-01-15 |
| 1326122839 | Boston Ivf, Inc. | Obstetrics & Gynecology | 130 2nd Ave, Boston Ivf, Inc., Waltham, MA 02451-1100 | 2006-10-24 |
| 1457467383 | Sudha G Mehta | Obstetrics & Gynecology | 20 Hope Ave, #309, Waltham, MA 02453-2721 | 2006-08-22 |
| 1194707836 | Carey Michele York Best | Obstetrics & Gynecology | 40 2nd Ave, Ste 400, Waltham, MA 02451-1132 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205037 | The Practice Ob/gyn Steward, PC | Obstetrics & Gynecology | 275 Varnum Ave Ste 103, Lowell, MA 01854-2109 | 2020-08-12 |
| 1558905570 | Alliance Ob Gyn LLC | Obstetrics & Gynecology | 380 Merrimack St Ste 2a, Methuen, MA 01844-5871 | 2019-11-01 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1164909925 | Estefania D. Rivera Mudafort | Obstetrics & Gynecology | 850 Harrison Ave Fl 5, Boston, MA 02118-4001 | 2018-07-25 |
| 1376035881 | Erika R Wallace | Obstetrics & Gynecology | 800 Washington Street #22, Obgyn Residency Office, Boston, MA 02111 | 2018-05-31 |
| 1649760851 | Andrea Jaresova | Obstetrics & Gynecology | 330 Brookline Ave # Shapiro8, Boston, MA 02215-5491 | 2018-05-14 |
| 1063920767 | Jean Wilner Noel | Obstetrics & Gynecology | 11 Nevins St Ste 302, Boston, MA 02135-3514 | 2018-01-16 |
| 1740705243 | Ronan Paul Sugrue | Obstetrics & Gynecology | 75 Francis Street Brigham and Womens' Hospital, Department of Obstetrics and Gynecology, Boston, MA 02115 | 2017-08-07 |
| 1386173144 | Matthew Shear | Obstetrics & Gynecology | 330 Brookline Ave # 3, Boston, MA 02215-5400 | 2017-06-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.