Healthcare Provider Details

I. General information

NPI: 1306908561
Provider Name (Legal Business Name): KAPASI ASSOCIATES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 BRIDGE ST
DEDHAM MA
02026-1765
US

IV. Provider business mailing address

80 BRIDGE ST
DEDHAM MA
02026-1765
US

V. Phone/Fax

Practice location:
  • Phone: 781-326-0077
  • Fax: 781-326-4300
Mailing address:
  • Phone: 781-326-0077
  • Fax: 781-326-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number39392
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number39392
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number39392
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number040613
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number40613
License Number StateMA
# 6
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number77242
License Number StateMA
# 7
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number39392
License Number StateMA
# 8
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number040613
License Number StateMA

VIII. Authorized Official

Name: DR. ONALY A KAPASI
Title or Position: CEO
Credential: MD
Phone: 781-326-0077