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BOSTON FOOD ALLERGY CENTER LLC
NPI 1386019503
Internal Medicine - Gastroenterology in Boston, MA

Active since December 14, 2015
65 HARRISON AVE STE 201, BOSTON, MA 02111(617) 636-8858(617) 636-8826 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, Feb 12, 2016, Dec 14, 2015 (3 updates tracked since 2015).

About Boston Food Allergy Center Llc NPPES

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

BOSTON FOOD ALLERGY CENTER LLC (NPI 1386019503) is a healthcare organization registered as a gastroenterology in Boston, Massachusetts and active in the NPI registry since December 2015. The organization lists Shaun White, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1386019503
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBOSTON FOOD ALLERGY CENTER LLC
Location Address65 HARRISON AVE STE 201Boston, MA 02111-1924
Mailing Address1 Nassau Street Unit 1906Boston, MA 02111-1587 · (617) 636-8858 · Fax (617) 804-6767
Phone(617) 636-8858
Fax(617) 636-8826
Organization SubpartNo
Authorized OfficialShaun WhiteCredentialing Manager · (502) 244-9859
Enumeration DateDecember 14, 2015
Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1386019503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MA · 230907
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
65 HARRISON AVE STE 201, Boston, MA 02111
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Other Identifiers 2

Other230907MA · State License
Medicaid110085164AMA

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.

BOSTON SPECIALISTS - STEWARDS NETWORK LLC
Internal Medicine (Gastroenterology)
65 HARRISON AVE STE 201
BOSTON, MA 02111
Suffolk County (734) 846-4910
DR. JOHN LEUNG M.D.
Internal Medicine (Gastroenterology)
65 HARRISON AVE STE 201
BOSTON, MA 02111
Suffolk County (617) 804-6767
BOSTON FOOD ALLERGY CENTER
Allergy & Immunology
65 HARRISON AVE STE 201
BOSTON, MA 02111
Suffolk County (617) 804-6767
BOSTON SPECIALISTS - NWH LLC
Allergy & Immunology
65 HARRISON AVE STE 201
BOSTON, MA 02111
Suffolk County (617) 804-6767

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 Boston Food Allergy Center LLC's NPI number?

The NPI number for Boston Food Allergy Center LLC is 1386019503. It was assigned to this organization in the NPPES registry on December 14, 2015.

Where is Boston Food Allergy Center LLC located?

Boston Food Allergy Center LLC is located at 65 Harrison Ave Ste 201, Boston, MA 02111. The listed phone number is (617) 636-8858.

What is Boston Food Allergy Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Boston Food Allergy Center LLC was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.