SPECIALTY IC MASS LLC
NPI 1346713708
Clinic/Center - Infusion Therapy in Braintree, MA

Active since January 09, 2019CLIA Certified · 2 labs
30 BRAINTREE HILL OFFICE PARK STE 103, BRAINTREE, MA 02184(212) 776-9090(800) 540-1852 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2024, Mar 9, 2023, Jan 9, 2019 (3 updates tracked since 2019).

About Specialty Ic Mass Llc NPPES

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

SPECIALTY IC MASS LLC (NPI 1346713708) is a healthcare organization registered as an infusion therapy in Braintree, Massachusetts and active in the NPI registry since January 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Woburn, and lists Sue Rottura, Director, as its authorized official.

NPPES Registry Identity

NPI1346713708
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameSPECIALTY IC MASS LLC
Location Address30 BRAINTREE HILL OFFICE PARK STE 103Braintree, MA 02184-8751
Mailing Address1047 Surf Ave Ste 2Brooklyn, NY 11224-2810 · (212) 776-9090 · Fax (800) 540-1852
Fax(800) 540-1852
Organization SubpartNo
Authorized OfficialSue RotturaDirector · (561) 323-8987
Enumeration DateJanuary 9, 2019
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1346713708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
30 BRAINTREE HILL OFFICE PARK STE 103, Braintree, MA 02184

Secondary Practice Location 1

Location 1444 Washington St Ste 405Woburn, MA 01801-1072 · Phone (212) 776-9090 · Fax (800) 540-1852

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Specialty Ic Mass Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Specialty Ic Mass LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1467950741
189 QUINCY ST
Brockton, MA 02302
(508) 588-6700
✔ PECOS9.8 mi
Nurse Practitioner
NPI 1215454863
220 FARMINGTON AVE
Farmington, CT 06032
(203) 883-0038
✔ PECOS97 mi
Family Practice
NPI 1598794505
35 MILES ST
Damariscotta, ME 04543
(207) 661-2018
✔ PECOS✔ Accepts Medicare145 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 22D2277729

Specialty Ic Mass LLC · Woburn, MA
Active · expires Mar 2, 2027
CLIA Number22D2277729
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorTheresa Piotrowski
Laboratory Phone(212) 776-9090
Laboratory LocationSpecialty Ic Mass LLC444 Washington Street Suite 405, Woburn, MA 01801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D2277728

Specialty Ic Mass, LLC · Braintree, MA
Active · expires Mar 2, 2027
CLIA Number22D2277728
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorDr. Theresa Piotrowski
Laboratory Phone(212) 776-9090
Laboratory LocationSpecialty Ic Mass, LLC30 Braintree Hill Ste 405, Braintree, MA 02184
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialty Ic Mass LLC's NPI number?

The NPI number for Specialty Ic Mass LLC is 1346713708. It was assigned to this organization in the NPPES registry on January 9, 2019.

Where is Specialty Ic Mass LLC located?

Specialty Ic Mass LLC is located at 30 Braintree Hill Office Park Ste 103, Braintree, MA 02184. The listed phone number is (212) 776-9090.

What is Specialty Ic Mass LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Is Specialty Ic Mass LLC enrolled in Medicare?

Yes. Specialty Ic Mass LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Ic Mass LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Specialty Ic Mass LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Specialty Ic Mass LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Specialty Ic Mass LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Specialty Ic Mass LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Specialty Ic Mass LLC was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.