| Boston Plastic & Oral Surgery | |
|
300 Longwood Ave Hu-158 Boston MA 02115-5724 | |
| (617) 355-7252 | |
| (617) 738-1657 |
| Full Name | Boston Plastic & Oral Surgery |
|---|---|
| Speciality | Surgery |
| Location | 300 Longwood Ave, Boston, Massachusetts |
| Authorized Official Name and Position | John G Meara (DIRECTOR) |
| Authorized Official Contact | 6173557252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Plastic & Oral Surgery 300 Longwood Ave Boston MA 02115-5724 Ph: (617) 355-7252 | Boston Plastic & Oral Surgery 300 Longwood Ave Hu-158 Boston MA 02115-5724 Ph: (617) 355-7252 |
| NPI Number | 1568404903 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/21/2025 |
| Medicare PECOS PAC ID | 7517957285 |
|---|---|
| Medicare Enrollment ID | O20040514000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568404903 | NPI | - | NPPES |
| Provider Name | Bonnie L Padwa |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1558351866 PECOS PAC ID: 7012992704 Enrollment ID: I20040618000337 |
| Provider Name | Brian I Labow |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1700844735 PECOS PAC ID: 7315917267 Enrollment ID: I20040728000662 |
| Provider Name | Craig D Mcclain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396705901 PECOS PAC ID: 8729979760 Enrollment ID: I20041019000396 |
| Provider Name | Jay G Berry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972627982 PECOS PAC ID: 4284691528 Enrollment ID: I20041217000487 |
| Provider Name | Linda A Bulich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992772669 PECOS PAC ID: 1759324767 Enrollment ID: I20050609000738 |
| Provider Name | Nathaniel S Treister |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306819388 PECOS PAC ID: 2567406135 Enrollment ID: I20050614001286 |
| Provider Name | John G Meara |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639274541 PECOS PAC ID: 7517965437 Enrollment ID: I20061130000537 |
| Provider Name | Arin K Greene |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053385245 PECOS PAC ID: 5092714709 Enrollment ID: I20061206000527 |
| Provider Name | Amol Ramesh Yajnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134218449 PECOS PAC ID: 4183792781 Enrollment ID: I20081009000452 |
| Provider Name | Amir H Taghinia |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1841492881 PECOS PAC ID: 9739247818 Enrollment ID: I20081017000455 |
| Provider Name | Elena B Bafani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528026036 PECOS PAC ID: 2264583442 Enrollment ID: I20090629000411 |
| Provider Name | Carolyn R Rogers-vizena |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780884064 PECOS PAC ID: 7416106331 Enrollment ID: I20121009000148 |
| Provider Name | Joseph P Cravero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689604985 PECOS PAC ID: 6002837929 Enrollment ID: I20130129000198 |
| Provider Name | Amy E Vinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194943654 PECOS PAC ID: 9739322660 Enrollment ID: I20130826000300 |
| Provider Name | Salim Afshar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932305505 PECOS PAC ID: 6002042090 Enrollment ID: I20131121001319 |
| Provider Name | Cory M Resnick |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1982695433 PECOS PAC ID: 7416127170 Enrollment ID: I20131216000745 |
| Provider Name | Ingrid M Ganske |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407098767 PECOS PAC ID: 4082872510 Enrollment ID: I20150902003148 |
| Provider Name | Rocco V. Landi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750678207 PECOS PAC ID: 9830408061 Enrollment ID: I20151028002641 |
| Provider Name | Oren Ganor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811339120 PECOS PAC ID: 0648571810 Enrollment ID: I20151211001016 |
| Provider Name | Catherine F Caillouette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538381231 PECOS PAC ID: 6204137292 Enrollment ID: I20151216001500 |
| Provider Name | Nancy M Ditullio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427314350 PECOS PAC ID: 7214231000 Enrollment ID: I20160216000463 |
| Provider Name | Mark A. Green |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821352394 PECOS PAC ID: 1254585342 Enrollment ID: I20180529001418 |
| Provider Name | Caroline A Yao |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790041697 PECOS PAC ID: 3870735681 Enrollment ID: I20180618001129 |
| Provider Name | Christopher D Hughes |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376704353 PECOS PAC ID: 9739434275 Enrollment ID: I20180625000549 |
| Provider Name | Melissa Jessica Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205489648 PECOS PAC ID: 2163844358 Enrollment ID: I20200616002634 |
| Provider Name | Daniel M Balkin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902249634 PECOS PAC ID: 4385938430 Enrollment ID: I20201009001513 |
| Provider Name | Shawn S Jackson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780078915 PECOS PAC ID: 6608161591 Enrollment ID: I20201030000180 |
| Provider Name | Melissa Kanack |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710373485 PECOS PAC ID: 6901184274 Enrollment ID: I20210706001646 |
| Provider Name | Jessica Dana Kant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386939627 PECOS PAC ID: 3173911575 Enrollment ID: I20211103001385 |
| Provider Name | Andrew J Deek |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063932036 PECOS PAC ID: 6002221520 Enrollment ID: I20230510001121 |
| Provider Name | Kerry Anne Morrison |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194253930 PECOS PAC ID: 7315285715 Enrollment ID: I20230522002355 |
| Provider Name | Nina Deutsch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851471569 PECOS PAC ID: 8729058383 Enrollment ID: I20230705002535 |
| Provider Name | Nicolette Tyler Bushman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215709951 PECOS PAC ID: 1759730955 Enrollment ID: I20231213002696 |
| Provider Name | Joseph M Firriolo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1306333505 PECOS PAC ID: 2769855030 Enrollment ID: I20240702001755 |
Trustees Of Boston University Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Newton St, Room G401, Boston, MA 02118 Phone: 617-638-4993 | |
42 North Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106 | |
Yael Frydman Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St Ste 303, Boston, MA 02114 Phone: 617-523-4555 | |
Jack B Share Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 State Street, Boston, MA 02109 Phone: 617-742-1350 Fax: 617-742-2044 | |
Ap Dental Staniford Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St, Boston, MA 02114 Phone: 978-223-3742 | |
Dental Partners Of Boston Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St Ste 303, Boston, MA 02114 Phone: 617-523-4555 | |
Trustees Of Boston University Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 E Newton St, Boston, MA 02118 Phone: 866-390-1815 |