DR. STUART ROBERT POMERANTZ MD NPI 1629000401

NPI Information

  • NPI: 1629000401
  • Provider Name: DR. STUART ROBERT POMERANTZ, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 FRUIT STREET
    FND 2
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 726-8320

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NPI Details

DR. Stuart Robert Pomerantz, MD is a diagnostic radiology radiology in Boston, MA with 28 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Stuart Robert Pomerantz, MD NPI is 1629000401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1997

The provider's business location address is:

55 FRUIT STREET
FND 2
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-8320

The NPI 1629000401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 12/13/2012.

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
12085N0700XRadiologyNeuroradiology213856MASSACHUSETTSNo
22085R0202XRadiologyDiagnostic Radiology213856MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1J24687OTHERMASSACHUSETTSBCBS MA
2H59532MEDICARE UPIN
3A33812MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
40173410MEDICAIDMASSACHUSETTS
5213856OTHERMASSACHUSETTSTUFTS HEALTH PLAN

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: 3/30/2025

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