ROBERT J. CERSOSIMO (NPI# 1558445189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558445189 |
| Entity Type | Individual |
| Full Name | ROBERT J. CERSOSIMO |
| Credential | PHARM.D. |
| Practice Address |
360 Huntington Ave 206 Mugar Boston MA 02115-5005 |
| Practice Telephone | 6173734177 |
| Practice Fax Number | 6173737655 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
18597 | MA | Pharmacy Service Providers |
| Street Address |
360 HUNTINGTON AVE 206 MUGAR |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659332799 | Cristobal Cornejo Jr. | Physician Assistant | 360 Huntington Ave, 135 Forsyth Building, Boston, MA 02115-5005 | 2006-03-29 |
| 1275132078 | Olivia Wilkins | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave, 202 Robinson Hall Physician Assistant Program, Boston, MA 02115 | 2020-10-22 |
| 1295333789 | Christine Rose Gencorelli | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave, Boston, MA 02115-5000 | 2020-10-15 |
| 1346848025 | Sydney Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave, Boston, MA 02115-5000 | 2020-10-14 |
| 1023616307 | Manuel Rivera | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave, Boston, MA 02115-5000 | 2020-10-09 |
| 1881292126 | Ashley Mulryan | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave, Boston, MA 02115-5005 | 2020-10-09 |
| 1154928232 | Tereza Pinkhasova | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave, Boston, MA 02115-5000 | 2020-10-02 |
| 1417564832 | Hannah Chmura | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave, Boston, MA 02115-5005 | 2020-09-29 |
| 1740897354 | Makayla Lorch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave, Boston, MA 02115-5005 | 2020-09-28 |
| 1740897396 | Michael Molta II | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave, Boston, MA 02115-5000 | 2020-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
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| 1487122719 | Bridget C Scullion | Pharmacist | 450 Brookline Ave Dept Of, Boston, MA 02215-5450 | 2018-11-05 |
| 1619428521 | Leila Rostamnjad | Pharmacist | 50 Fruit St, Boston, MA 02114-2620 | 2016-10-17 |
| 1316498298 | Ewha Bridget Kim | Pharmacist | 55 Fruit St, Yawkey Bldg 8th Floor, Massachusetts General Hospital, Boston, MA 02114-2621 | 2016-10-17 |
| 1215487798 | Mark Leonard Zangardi | Pharmacist | 55 Fruit St, Grb005, Boston, MA 02114-2621 | 2016-10-10 |
| 1447648779 | James Bennett | Pharmacist | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-01-09 |
| 1619181195 | Radhika Sane | Pharmacist | 88 E Newton St, Boston, MA 02118-2308 | 2007-05-10 |
| 1225250152 | Kristina Mangan | Pharmacist | 88 East Newton St, Boston, MA 02215 | 2007-05-02 |
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| 1568681591 | Edward J Bisaga | Pharmacist | 68 Landseer St, West Roxbury, MA 02132-3437 | 2007-04-25 |
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| 1205453966 | Amanda Manoogian | Pharmacist | 31 North Ave, Burlington, MA 01803-3305 | 2020-06-29 |
| 1972003366 | Nathan Haywood Hartwell | Pharmacist | Lahey Hospital and Medical Center, 41 Burlington Mall Rd, Burlington, MA 01805-0180 | 2018-02-13 |
| 1194263418 | Yi Gao-roberts | Pharmacist | 20 Meadow Ln, Boxborough, MA 01719 | 2017-02-07 |
| 1144584301 | Carmela H Berlin | Pharmacist | 102 Endicott St, Danvers, MA 01923-3623 | 2012-07-02 |
| 1740589514 | Jayde Bednarik | Pharmacist | 55 Lake Ave N, Pharmacy Department, Worcester, MA 01655-0002 | 2011-03-20 |
| 1164752044 | Kevin J Mckeon | Pharmacist | 41 Montvale Ave, Hallmark Health Cancer Center Pharmacy, Stoneham, MA 02180-2445 | 2009-12-28 |
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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.