DR. MIRIAM SUZANNE KOMAROMY (NPI# 1174620272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174620272 |
| Entity Type | Individual |
| Full Name | DR. MIRIAM SUZANNE KOMAROMY |
| Other Name | MIRIAM SUZANNE HUACO |
| Credential | MD |
| Practice Address |
801 Massachusetts Ave Adult Primary Care-crosstown 6 Boston MA 02118-2605 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
| Practice Telephone | 6174145951 |
| Practice Fax Number | 6174149201 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
281405 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
801 MASSACHUSETTS AVE ADULT PRIMARY CARE-CROSSTOWN 6 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569711 | Melinda M Tonelli | Internal Medicine | 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118-2526 | 2005-06-22 |
| 1275154940 | Jorge Nicolas Ruiz | Student in an Organized Health Care Education/Training Program | 801 Massachusetts Ave, 6th Floor Crosstown Clinic 6c, Boston, MA 02118 | 2020-05-04 |
| 1477015303 | Sara Lauren Shusterman | Internal Medicine | 801 Massachusetts Ave, Boston, MA 02118-2605 | 2019-04-01 |
| 1194285270 | Jihoon John Choi | Student in an Organized Health Care Education/Training Program | 801 Massachusetts Ave, Boston, MA 02118-2605 | 2019-03-23 |
| 1427517200 | Sarah Olofsson | Internal Medicine | 801 Massachusetts Ave, Boston, MA 02118 | 2019-03-19 |
| 1013476092 | Eleni Pilitsi | Student in an Organized Health Care Education/Training Program | 801 Massachusetts Ave, Boston, MA 02118-2605 | 2019-03-18 |
| 1023515996 | Monzolesso Joel Bagah-kognagba | Student in an Organized Health Care Education/Training Program | 801 Massachusetts Ave, Boston, MA 02118-2605 | 2018-04-09 |
| 1184122111 | Nicole Marie Lincoln | Nurse Practitioner | 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118-2605 | 2018-01-24 |
| 1386163178 | Margaret Perkins Ames | Nurse Practitioner | 801 Massachusetts Ave, Crosstown 6c, Boston, MA 02118-2605 | 2017-09-13 |
| 1265954523 | Alice Anne Grant | Nurse Practitioner | 801 Massachusetts Ave, Crosstown 6a, Boston, MA 02118-2605 | 2017-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790147130 | Joseph Boyle | Internal Medicine | 725 Albany Street, Shapiro 5&6, Boston, MA 02118 | 2016-03-24 |
| 1669799342 | Emily Elizabeth Hurstak | Internal Medicine | 801 Massachusetts Ave, Crosstown 6, Boston, MA 02118 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154804698 | Bay Medical Systems Associates LLC | Internal Medicine | 29 Main St Ste 101, Millbury, MA 01527-2005 | 2018-09-11 |
| 1619491198 | Willett & Associates | Internal Medicine | 22 Adams St Ste 1, Lynn, MA 01902-2804 | 2017-07-27 |
| 1275897092 | Jeoffrey Michael Hill | Internal Medicine | 100 Stone Manor Dr, New Marlborough, MA 01230-9744 | 2012-06-26 |
| 1487944914 | William Robert Caruso | Internal Medicine | 8 Winthrop Ave, Po 1153, Duxbury, MA 02332-5207 | 2011-04-18 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1609920776 | Theodore Treibick | Internal Medicine | 138 East St, Carlisle, MA 01741-1105 | 2007-01-23 |
| 1174544548 | William M Burke | Internal Medicine | 157 Temple St, West Roxbury, MA 02132-3804 | 2006-07-21 |
| 1083633580 | Michael J.f. Iannessa | Internal Medicine | 1233 State Rd, Plymouth, MA 02360-5133 | 2006-07-18 |
| 1235165291 | Robert Barry Downes | Internal Medicine | 169 Pine St, Natick, MA 01760-1332 | 2006-06-23 |
| 1669430526 | Alan A Wartenberg | Internal Medicine | 3 Prince St, Attleboro, MA 02703-1613 | 2006-05-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MIRIAM SUZANNE KOMAROMY.
| 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.