BETH ISRAEL DEACONESS MEDICAL CENTER
NPI 1215977442
Clinic/Center - Radiology in Boston, MA

Active since June 07, 2006
330 BROOKLINE AVE, CCW 308, BOSTON, MA 02215(617) 754-2598(617) 754-2754 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Radiology

About BETH ISRAEL DEACONESS MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Beth Israel Deaconess Medical Center, a provider established in Boston, Massachusetts operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1215977442 assigned on June 2006. The practitioner's primary taxonomy code is 261QR0200X with license number 153967 (MA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. S. Nahum Goldberg Md (Staff Radiologist)

NPI
1215977442 Verify this NPI
Provider Name
BETH ISRAEL DEACONESS MEDICAL CENTER
Entity Type
Organization
Location Address
330 BROOKLINE AVE CCW 308 BOSTON, MA 02215
Location Phone
(617) 754-2598
Location Fax
(617) 754-2754
Mailing Address
330 BROOKLINE AVE CCW 308 BOSTON, MA 02215
Mailing Phone
(617) 754-2598
Mailing Fax
(617) 754-2754
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2006
Last Update Date
10-29-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities
License No.
153967
License State
MA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. S. NAHUM GOLDBERG MD

Authorized Official Title
STAFF RADIOLOGIST
Authorized Official Phone
(617) 754-2598

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3166902MEDICAID (05)MA 
A22573MEDICARE ID-TYPE UNSPECIFIED (04)MADIAGNOSTIC RADIOLOGY

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
330 BROOKLINE AVE, KS 306
BOSTON, MA 02215
Internal Medicine (Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE, DEPT OF ANESTHESIA ST-308
BOSTON, MA 02215
Internal Medicine (Critical Care Medicine)
330 BROOKLINE AVE, GZ 405
BOSTON, MA 02215
Radiology (Radiation Oncology)
330 BROOKLINE AVE, FINARD BUILDING B25
BOSTON, MA 02215
Psychiatry & Neurology (Neurology)
330 BROOKLINE AVE
BOSTON, MA 02215
Pathology (Neuropathology)
330 BROOKLINE AVE, DEPT. OF NEUROLOGY
BOSTON, MA 02215
Internal Medicine (Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Geriatric Medicine)
330 BROOKLINE AVE
BOSTON, MA 02215
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Pulmonary Disease)
330 BROOKLINE AVE, GZ-402
BOSTON, MA 02215
Internal Medicine (Pulmonary Disease)
330 BROOKLINE AVE, KSB23, BIDMC PULMONARY
BOSTON, MA 02215
Pathology (Anatomic Pathology)
330 BROOKLINE AVE, DEPT OF MEDICINE
BOSTON, MA 02215
Pediatrics (Neonatal-Perinatal Medicine)
330 BROOKLINE AVE, ROSE BUILDING ROOM 318
BOSTON, MA 02215
Internal Medicine (Gastroenterology)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE, SHAPIRO 6
BOSTON, MA 02215
Internal Medicine (Pulmonary Disease)
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER
BOSTON, MA 02215
Internal Medicine (Infectious Disease)
330 BROOKLINE AVE, RESEARCH EAST 113 BETH ISRAEL DEACONESS HOSPITAL
BOSTON, MA 02215
Orthopaedic Surgery
330 BROOKLINE AVE, BIDMC - STONEMAN 10
BOSTON, MA 02215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215977442, enumerated as an "organization" on June 07, 2006.

The provider is located at 330 BROOKLINE AVE CCW 308 BOSTON, MA 02215 and the phone number is (617) 754-2598.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.