BOSTON COMMON PODIATRY INC (NPI# 1982651733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982651733 |
| Entity Type | Organization |
| Organization Name | BOSTON COMMON PODIATRY INC |
| Practice Address |
264 Beacon St Sutie 201 Boston MA 02116-1236 |
| Mailing Address |
264 Beacon St Suite 201 Boston MA 02116-1236 |
| Practice Telephone | 6172622266 |
| Mailing Telephone | 6172622266 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | JORDANA SZPIRO (PRESIDENT) |
| Authorized Official Telephone | 6179736799 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS/BLUE SHIELD | Y77335 | 01 |
| MA | TUFTS HEALTH PLAN | 602604 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | BOSTON COMMON PODIATRY INC. | 508 Beacon Street, Boston, MA 02215 |
| Street Address |
264 BEACON ST SUTIE 201 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268473 | Janet Melissa Witte | Psychiatry & Neurology | 264 Beacon St, Fl. 1, Boston, MA 02116-1236 | 2006-01-03 |
| 1134664394 | Wellness Therapist, LLC | Social Worker | 264 Beacon St, Boston, MA 02116-1236 | 2016-12-27 |
| 1760650121 | Irit Feldman | Counselor | 264 Beacon St, 3rd Floor, Boston, MA 02116-1236 | 2008-02-19 |
| 1598981011 | Janet Albers English | Psychologist | 264 Beacon St, Fifth Floor, Boston, MA 02116-1236 | 2007-04-17 |
| 1225252133 | Stuart Nathan Simon | Social Worker | 264 Beacon St, 5th Floor, Boston, MA 02116-1236 | 2007-04-12 |
| 1750419776 | Padma Ali | Marriage & Family Therapist | 264 Beacon St, Suite 3ff, Boston, MA 02116-1236 | 2007-03-01 |
| 1194851238 | Karen B. Levin | Psychologist | 264 Beacon St, Floor 5, Boston, MA 02116-1236 | 2007-02-25 |
| 1285778548 | Geoffry William Mcenany | Registered Nurse | 264 Beacon St, Suite 601, Boston, MA 02116-1236 | 2007-02-19 |
| 1578619136 | Dana L. Ingersoll | Marriage & Family Therapist | 264 Beacon St, 3rd Floor, Boston, MA 02116-1236 | 2007-01-26 |
| 1356493662 | Irina Aguirre | Counselor | 264 Beacon St, 5th Floor, Boston, MA 02116-1236 | 2007-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
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| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306138086 | Daphne Robert | Podiatrist | 732 Harrison Ave Bldg 5th, Boston, MA 02118-2309 | 2011-05-12 |
| 1285666222 | Millard Thomas Hennessee | Podiatrist | 654 E Broadway, Boston, MA 02127-1502 | 2006-07-07 |
| 1487644936 | Carol A Divaio | Podiatrist | 55 Fruit St Yaw 3056, Podiatry Group, Boston, MA 02114-2696 | 2005-10-26 |
| 1285623694 | David E. Negron | Podiatrist | 732 Harrison Avenue, Preston 5th Floor, Boston, MA 02118 | 2005-10-18 |
| 1356339949 | Judy Beth Hurwitz | Podiatrist | 66 Charles St, #528, Boston, MA 02114-4604 | 2005-10-08 |
| 1558353714 | David Agoada | Podiatrist | 133 Brookline Ave., Hvma, Boston, MA 02215 | 2005-08-15 |
| 1407854094 | Adam Scott Landsman | Podiatrist | 55 Fruit Street, Dept. of Orthopaedics/podiatry Service, Boston, MA 02114-2696 | 2005-07-08 |
| 1538791892 | Seniorwell Pod of Massachusetts LLC | Podiatrist | 75 Arlington St Ste 500, Boston, MA 02116-3936 | 2020-02-05 |
| 1023672979 | Lowell Tong | Podiatrist | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2019-04-25 |
| 1689026023 | Gurneet Khangura | Podiatrist | 55 Fruit St, Yawkey 3f, Boston, MA 02114-2621 | 2016-07-11 |
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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.