GREATER ROSLINDALE MEDICAL AND DENTAL CENTER
NPI 1255624250
Clinic/Center - Community Health in Roslindale, MA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.

Active since May 24, 2011CLIA 22D0681824 · Waiver

4199 WASHINGTON ST, ROSLINDALE, MA 02131(617) 323-4440(617) 323-7870 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Greater Roslindale Medical And Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREATER ROSLINDALE MEDICAL AND DENTAL CENTER (NPI 1255624250) is a healthcare organization registered as a community health in Roslindale, Massachusetts and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Barbara J. Lottero, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255624250

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameBOSTON MEDICAL CENTER

Location Address4199 WASHINGTON STRoslindale, MA 02131-1733

Mailing Address4199 Washington StRoslindale, MA 02131-1733 · (617) 323-4440 · Fax (617) 323-7870

Phone(617) 323-4440

Fax(617) 323-7870

Organization SubpartNo

Authorized OfficialBarbara J. LotteroExecutive Director · (617) 363-1200

Enumeration DateMay 24, 2011

✔ NPI 1255624250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

4199 WASHINGTON ST, Roslindale, MA 02131

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Other Names 1

Doing Business AsGreater Roslindale Medical And Dental Center

Other Identifiers 3

Medicaid1212095MA

Medicare OSCAR/certificationM20579MA

Medicare OSCAR/certification220031MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0681824

Greater Roslindale Medical & Dental Center · Roslindale, MA

Active · expires Feb 11, 2028

CLIA Number22D0681824

Laboratory TypeCommunity Clinic

Certificate Effective DateFebruary 12, 2026

Certificate Expiration DateFebruary 11, 2028

Laboratory DirectorJennifer Trieu

Laboratory Phone(617) 414-3723

Laboratory LocationGreater Roslindale Medical & Dental Center4199 Washington Street, Roslindale, MA 02131

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CAROL A ONEIL MD

Family Medicine