ALLY IV & THERAPEUTICS, INC
NPI 1366033102
Nurse Practitioner in Boston, MA

Active since February 02, 2021
305 NEWBURY ST STE 41, BOSTON, MA 02115(617) 600-4235(617) 600-4235 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ally Iv & Therapeutics, Inc NPPES

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

ALLY IV & THERAPEUTICS, INC (NPI 1366033102) is a healthcare organization registered as a nurse practitioner in Boston, Massachusetts and active in the NPI registry since February 2021. The organization lists Susan Sserunkuma Wilkinson, President/founder, as its authorized official.

NPPES Registry Identity

NPI1366033102
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameALLY IV & THERAPEUTICS, INC
Location Address305 NEWBURY ST STE 41Boston, MA 02115-2833
Mailing Address305 Newbury St Ste 41Boston, MA 02115-2833 · (617) 600-4235
Fax(617) 600-4235
Organization SubpartNo
Authorized OfficialSusan Sserunkuma WilkinsonPresident/founder · (617) 600-4235
Enumeration DateFebruary 2, 2021
NPPES CertifiedJanuary 30, 2021
NPI 1366033102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
305 NEWBURY ST STE 41, Boston, MA 02115

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
305 NEWBURY ST STE 41
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
305 NEWBURY ST STE 41
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
305 NEWBURY ST STE 41
BOSTON, MA 02115
Nurse Practitioner
305 NEWBURY ST STE 41
BOSTON, MA 02115

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 Ally IV & Therapeutics, Inc's NPI number?

The NPI number for Ally IV & Therapeutics, Inc is 1366033102. It was assigned to this organization in the NPPES registry on February 2, 2021.

Where is Ally IV & Therapeutics, Inc located?

Ally IV & Therapeutics, Inc is located at 305 Newbury St Ste 41, Boston, MA 02115. The listed phone number is (617) 600-4235.

What is Ally IV & Therapeutics, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Ally IV & Therapeutics, Inc was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.