BOSTON IVF, INC. (NPI# 1396821427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396821427 |
| Entity Type | Organization |
| Organization Name | BOSTON IVF, INC. |
| Other Organization Name | BOSTON FERTILITY LAB |
| Practice Address |
130 2nd Ave Boston Ivf, Inc. - Lab Waltham MA 02451-1100 |
| Practice Telephone | 7814346400 |
| Practice Fax Number | 7814346464 |
| Mailing Telephone | 7814346400 |
| Mailing Fax Number | 7814346464 |
| Enumeration Date | 2006-10-31 |
| 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 |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 2517 | MA | Laboratories |
| Other Name | Type Code |
|---|---|
| Boston Fertility Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154493559 | Boston Ivf, Inc. | Obstetrics & Gynecology | 130 2nd Ave, Boston Ivf, Inc., Waltham, MA 02451-1100 | 2006-11-14 |
| 1497831523 | Boston Ivf, Inc. | Clinic/Center | 130 2nd Ave, The Surgery Center of Waltham, 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. - LAB |
| 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 |
| 1154493559 | Boston Ivf, Inc. | Obstetrics & Gynecology | 130 2nd Ave, Boston Ivf, Inc., Waltham, MA 02451-1100 | 2006-11-14 |
| 1497831523 | Boston Ivf, Inc. | Clinic/Center | 130 2nd Ave, The Surgery Center of Waltham, 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
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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.