Maya Berdzenishvili Md LLC (NPI# 1477155158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1477155158 |
| Entity Type | Organization |
| Organization Name | MAYA BERDZENISHVILI MD LLC |
| Practice Address |
220 Commonwealth Ave Apt 4 Boston MA 02116-2510 |
| Practice Telephone | 6172626402 |
| Practice Fax Number | 6172626402 |
| Mailing Address |
220 Commonwealth Ave Apt 4 Boston MA 02116-2510 |
| Mailing Telephone | 6172626402 |
| Mailing Fax Number | 6172626402 |
| Authorized Official Name | Dr. Maya Berdzenishvili (OWNER) |
| Authorized Official Telephone | 6172620462 |
| Authorized Official Credential | MD |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 261QR0400X | Clinic/Center · Rehabilitation | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maya Berdzenishvili MD LLC | Other Name - Individual/Organization |
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come… |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003934506 | Backworks | Clinic/Center | 34 Batterymarch St, Boston, MA 02110-3202 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102002 | Start Inc | Clinic/Center | 4 Meeting House Rd Ste 5, Chelmsford, MA 01824-2775 | 2020-10-20 |
| 1003429010 | Optimal Therapy Solutions, LLC | Clinic/Center | 127 Bel Air Drive, Longmeadow, MA 01106 | 2020-08-28 |
| 1780201210 | K&s Recovery LLC | Clinic/Center | 763 Waverley St, Framingham, MA 01702-8567 | 2020-06-30 |
| 1497308795 | Dg Physical Therapy, P.C. | Clinic/Center | 489 Bearses Way Unit B, Hyannis, MA 02601-2707 | 2019-07-17 |
| 1730641168 | Dg Physical Therapy PC | Clinic/Center | 73 Canal St, Millbury, MA 01527-3253 | 2019-04-04 |
| 1598288102 | Napa Center, Inc. | Clinic/Center | 1 Badger Rd, Framingham, MA 01702-5517 | 2017-07-25 |
| 1750784161 | Genesis Healthcare | Clinic/Center | 4380 N Main St, Fall River, MA 02720-1711 | 2014-09-29 |
| 1396168639 | Transitions In Motion, LLC | Clinic/Center | 162 Shea Ave, Belchertown, MA 01007-9329 | 2014-01-22 |
| 1235560699 | Preferred Therapy Solutions,llc | Clinic/Center | 10 Cudworth Rd, Webster, MA 01570-3100 | 2013-12-10 |
| 1063658946 | Rehabilitation Associates, Inc. | Clinic/Center | 80 Access Rd, Norwood, MA 02062-5237 | 2008-12-26 |
| Find all providers with the same taxonomy | ||||
| Street Address |
220 COMMONWEALTH AVE APT 4 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
Please comment or provide details below to improve the information on Maya Berdzenishvili Md LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.