ADVANCED ANCILLARY SERVICES PLLC — NPI 1689369993 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Sports Medicine in DEDHAM, MA)

CMS-1500 Box 24J / 33a • NPI

1689369993

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2081S0010X (CMS 23)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Sports Medicine

Box 32 Service Location & ZIP+4

333 ELM STREET, SUITE 110, DEDHAM, MA, 02026-4530

✓ 9-Digit EDI 837 ZIP+4 (02026-4530)

Practice Phone & Referral Fax

(781) 316-8830

Fax: (857) 394-3172

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689369993 (ADVANCED ANCILLARY SERVICES PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1689369993` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED ANCILLARY SERVICES PLLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Sports Medicine NUCC Code: `2081S0010X` (Physical Medicine & Rehabilitation, Sports Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	333 ELM STREET, SUITE 110, DEDHAM, MA, 02026-4530
Practice Telephone / Fax	Tel: (781) 316-8830 \| Fax: (857) 394-3172
Administrative Mailing Address	333 ELM STREET, DEDHAM, MA, 02026-4530
Enumeration & Last Sync	Enumerated: 2023-04-11 \| CMS Record Updated: 2023-04-11
Authorized Official	ROBERT PATZ (Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

333 ELM STREET, SUITE 110, DEDHAM, MA, 02026-4530

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Plain-English Taxonomy & CMS Crosswalk (2081S0010X)

What Does Taxonomy Code 2081S0010X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2081S0010X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Sports Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 23 (Physician/Sports Medicine) • CMS Code 25 (Physician/Physical Medicine and Rehabilitation)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Medicine & Rehabilitation, Sports Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED ANCILLARY SERVICES PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2081S0010X` — Physical Medicine & Rehabilitation, Sports Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Sports Medicine	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED ANCILLARY SERVICES PLLC (NPI #1689369993)