Provider Demographics
NPI:1972587947
Name:NON-SURGICAL ORTHOPEDIC CENTER
Entity type:Organization
Organization Name:NON-SURGICAL ORTHOPEDIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOLOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-453-1266
Mailing Address - Street 1:140 GOULD ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-2307
Mailing Address - Country:US
Mailing Address - Phone:781-453-1266
Mailing Address - Fax:781-453-1267
Practice Address - Street 1:140GOULD ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-2307
Practice Address - Country:US
Practice Address - Phone:781-453-1266
Practice Address - Fax:781-453-1267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78630208100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0006132OtherNHP
2300069OtherUNITED HC
J30202OtherBCBS
537818OtherAETNA
80241OtherNAV PILG
MA3132391Medicaid
80241OtherNAV PILG
J30202Medicare ID - Type Unspecified