ALEX GRILLI (NPI# 1174577928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174577928 |
| Entity Type | Individual |
| Full Name | ALEX GRILLI |
| Credential | M.D. |
| Practice Address |
500 Congress St Quincy MA 02169-0908 |
| Practice Telephone | 6177741717 |
| Mailing Telephone | 6177741717 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
214103 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0198731 | 05 |
| Street Address |
500 CONGRESS ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-0908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200324 | Jeanne C Benoit | Nurse Practitioner | 500 Congress St, Quincy, MA 02169-0908 | 2005-07-28 |
| 1407362577 | Donna M Osis | Hearing Instrument Specialist | 500 Congress St, Quincy, MA 02169-0908 | 2017-12-27 |
| 1497106389 | Valeria Duque | Audiologist | 500 Congress St, Suite 2j, Quincy, MA 02169-0908 | 2016-06-22 |
| 1518337062 | Atrius Health, Inc. | Nutritionist | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-09-28 |
| 1427428978 | Atrius Health, Inc. | Nutritionist | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-09-28 |
| 1477937480 | Dermasap Pllc | Dermatology | 500 Congress St, B1, Quincy, MA 02169-0908 | 2015-07-20 |
| 1558756759 | Atrius Health, Inc. | Dermatology | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-04-03 |
| 1568854008 | Commonwealth Plastic Surgery LLC | Surgery | 500 Congress St, Suite B1, Quincy, MA 02169-0908 | 2015-02-20 |
| 1760804603 | Maria Mamakos | Nurse Practitioner | 500 Congress St, Quincy, MA 02169-0908 | 2014-01-13 |
| 1730527474 | Antoin Johnsen Deschrijver | Student in an Organized Health Care Education/Training Program | 500 Congress St, Suite 2h, Quincy, MA 02169 | 2013-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730434614 | Jeannie H Chung Md PC | Otolaryngology | 14 Jefferson Rd, Chestnut Hill, MA 02467-2312 | 2012-07-17 |
| 1083606016 | Anna E. Petropoulos | Otolaryngology | 80 Lindall St, Danvers, MA 01923-2135 | 2005-08-16 |
| 1164867479 | Derosa Facial Plastic Surgery PC | Otolaryngology | 91 Newbury St, Suite 300, Boston, MA 02116-3084 | 2013-05-01 |
| 1184858532 | Beacon Facial Plastic Surgery, LLC | Otolaryngology | 15 Dix St, Suite G, Winchester, MA 01890-1870 | 2009-05-13 |
| 1366618464 | Linda Nancy Lee | Otolaryngology | 230 Worcester St, Wellesley, MA 02481-5420 | 2008-05-08 |
| 1104947480 | Andrew J. Dadagian, M.d., Inc. | Otolaryngology | 225 Field St, New Bedford, MA 02740-2134 | 2007-04-03 |
| 1770610909 | Jeannie Hye-joon Chung | Otolaryngology | 107 Highland Ave, Salem, MA 01970-2721 | 2007-02-27 |
| 1588626204 | John R Stram | Otolaryngology | 830 Harrison Ave, Suite 1400, Boston, MA 02118-2905 | 2006-04-06 |
| 1104817170 | Derrick T. Lin | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-10-31 |
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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.