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: July 19, 2026.

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

  • Organization
  • Clinic/Center
  • Infusion Therapy
  • Accepts Insurance
  • CLIA Number: 22D2277729
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-02-2027

About SPECIALTY IC MASS LLC

This page provides the complete NPI Profile along with additional information for Specialty Ic Mass Llc, a provider established in Braintree, Massachusetts operating as a Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1346713708 assigned on January 2019. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Sue Rottura (Director)

NPI
1346713708 Verify this NPI
Provider Name
SPECIALTY IC MASS LLC
Entity Type
Organization
Location Address
30 BRAINTREE HILL OFFICE PARK STE 103 BRAINTREE, MA 02184
Location Phone
(212) 776-9090
Location Fax
(800) 540-1852
Mailing Address
1047 SURF AVE STE 2 BROOKLYN, NY 11224
Mailing Phone
(212) 776-9090
Mailing Fax
(800) 540-1852
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2019
Last Update Date
02-05-2024
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Location Map

Secondary Locations

  • 444 Washington St Ste 405
    Woburn, MA 01801
    (212) 776-9090

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 Infusion Therapy

Taxonomy Code
261QI0500X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QB0002XAllopathic & Osteopathic Physicians

Family Medicine
Obesity Medicine

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*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

SUE ROTTURA

Authorized Official Title
DIRECTOR
Authorized Official Phone
(561) 323-8987

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2277729
Facility Type
Physician Office
Certificate Effective Date
March 03, 2025
Certificate Expiration Date
March 02, 2027
Laboratory Director
THERESA PIOTROWSKI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Specialty Ic Mass Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SPECIALTY IC MASS LLC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346713708, enumerated as an "organization" on January 09, 2019.

The provider is located at 30 BRAINTREE HILL OFFICE PARK STE 103 BRAINTREE, MA 02184 and the phone number is (212) 776-9090.

Clinic/Center with taxonomy code 261QI0500X and a focus in Infusion Therapy.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.