THE SURGERY CENTER OF WALTHAM – NPI #1497831523
Clinic/Center

THE SURGERY CENTER OF WALTHAM is an AHC clinic located in WALTHAM, MA. NPPES has assigned the NPI number 1497831523 to THE SURGERY CENTER OF WALTHAM on October 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE SURGERY CENTER OF WALTHAM” is a dba name, the actual legal business name for this organization is BOSTON IVF, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Aug 24, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE SURGERY CENTER OF WALTHAM below.

NPI Profile for
BOSTON IVF, INC.

NPI Number
1497831523
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOSTON IVF, INC.
Doing Business As (dba): THE SURGERY CENTER OF WALTHAM
Primary location
130 2ND AVE
THE SURGERY CENTER OF WALTHAM
WALTHAM, MA 02451-1100
Phone: (781) 434-6400 Fax: (781) 434-6497
Mailing address
Same as primary location
Organization Subpart
Yes - THE SURGERY CENTER OF WALTHAM is subpart of another organization.
Authorized Official
DEREK LARKIN
DIRECTOR OF BUSINESS
Phone: (781) 434-6500
Updated
Identifiers

Identifiers for THE SURGERY CENTER OF WALTHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA1212524
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 MA 4QLZ
261QA0006X
- Clinic/Center / Ambulatory Fertility Facility		 MA 4QLZ

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.