IndividualActive
Nicodeme Wanko Agassy, MD
NPI 1477044550 · Diagnostic Radiology Physician · Boston, MA
Provider details
- NPI number
- 1477044550
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA11170500 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
Street-level locationGet directions
Mailing address
1 Richmond St Apt 4012
New Brunswick, NJ 08901-4102
Additional practice locations (1)
- 1 Robert Wood Johnson PlNew Brunswick, NJ 08901-1928Phone: (240) 715-7885
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.