SQUARE KNOT PROFESSIONAL SERVICES LLC NPI 1619545688

NPI Information

  • NPI: 1619545688
  • Provider Name: SQUARE KNOT PROFESSIONAL SERVICES LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 240 MOUNT VERNON ST
    WEST NEWTON, MA
    ZIP 02465
  • Phone: (617) 468-4245

Map and Directions

Get Directions

NPI Details

SQUARE KNOT PROFESSIONAL SERVICES LLC is a nephrology internal medicine in West Newton, MA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SQUARE KNOT PROFESSIONAL SERVICES LLC NPI is 1619545688. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

240 MOUNT VERNON ST
WEST NEWTON, MA
ZIP 02465-519
Phone: (617) 468-4245
Fax: (617) 468-4556

The provider's authorized official is Eliot Charles Heher .
The authorized official title is President and has the following contact phone number (617) 468-4247.

The enumeration date for this NPI number is 6/15/2021 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI