DR. JAY LOEFFLER (NPI# 1083686547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083686547 |
| Entity Type | Individual |
| Full Name | DR. JAY LOEFFLER |
| Credential | MD |
| Practice Address |
55 Fruit Street Northeast Proton Therapy Center Boston MA 02114 |
| Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6177241548 |
| Practice Fax Number | 6176679551 |
| Mailing Telephone | 6177241548 |
| Mailing Fax Number | 6177248334 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
55786 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 740018 | 01 |
| MA | 3039358 | 05 | |
| MA | BCBS MA | J07812 | 01 |
| Street Address |
55 FRUIT STREET NORTHEAST PROTON THERAPY CENTER |
| City | BOSTON |
| State | MA |
| Zip Code | 02114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854094 | Adam Scott Landsman | Podiatrist | 55 Fruit Street, Dept. of Orthopaedics/podiatry Service, Boston, MA 02114-2696 | 2005-07-08 |
| 1013532373 | Fei Wu | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb444, Boston, MA 02114-2696 | 2020-06-12 |
| 1376163816 | Amine Mohamed Marc Awad | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Internal Medicine Residency Program Manager, Gary Bigel, Boston, MA 02114 | 2020-04-24 |
| 1760011167 | Ellen Clare Mail | Social Worker | 55 Fruit Street, Wacc 023, Boston, MA 02114 | 2020-04-07 |
| 1831726199 | Bennet S Cho | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb-425, Boston, MA 02114 | 2020-03-26 |
| 1841827276 | Brian Jacob Kinsman | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb444, Boston, MA 02114 | 2020-03-25 |
| 1700413408 | Madhur Nayan | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Boston, MA 02114 | 2020-03-24 |
| 1629605233 | Jimmitti Teysir | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb-7-730, Boston, MA 02114 | 2020-03-24 |
| 1841823010 | Mark Wu | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Department of Radiology, Boston, MA 02114-2698 | 2020-02-17 |
| 1831721430 | William Yuanchen Shi | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Division of Cardiac Surgery, Cox 630, Massachusetts Gen, Boston, MA 02114 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073587291 | Paul Martin Busse | Radiology | 100 Blossom St, Cox Ll, Boston, MA 02114-2617 | 2006-02-14 |
| 1710966551 | Mary Ann Stevenson | Radiology | 330 Brookline Ave, Boston, MA 02215-5400 | 2006-01-11 |
| 1467437103 | William Upjohn Shipley | Radiology | 55 Fruit St, Cox Building 347 Lower Level Yaw 7e, Boston, MA 02114-2696 | 2005-12-14 |
| 1649254202 | Herman Day Suit | Radiology | 100 Blossom St, Cox 544 Radiation Oncology, Boston, MA 02114-2617 | 2005-12-06 |
| 1467434019 | Noah Chan Choi | Radiology | 100 Blossom St, Cox 3, Boston, MA 02114-2606 | 2005-11-18 |
| 1376525014 | Anthony Henryk Russell | Radiology | 100 Blossom St, Cox Ll, Boston, MA 02114-2606 | 2005-11-17 |
| 1306837448 | Nancy J Tarbell | Radiology | 100 Blossom St, Cox 3, Boston, MA 02114-2606 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194249490 | Shields Radiology Associates, P.C. | Radiology | 265 Westgate Dr Ste 2, Brockton, MA 02301-1817 | 2017-07-28 |
| 1720063076 | Robert A. Stein | Radiology | 56 Christine Dr, West Springfield, MA 01089-2230 | 2005-12-09 |
| 1962526194 | Mystic Radiation Oncologists, P.C. | Radiology | 620 Washington St, Winchester, MA 01890-1328 | 2007-03-16 |
| 1912914276 | Daniel F Flynn | Radiology | 70 East St, Methuen, MA 01844-4597 | 2006-08-01 |
| 1528090131 | Wachusett Radiology, Inc. | Radiology | 242 Green St, Radiology Department, Gardner, MA 01440-1336 | 2006-07-06 |
| 1417995630 | Soo K. Choi | Radiology | 363 Highland Avenue, Southcoast Physician Services, Inc., Fall River, MA 02720 | 2006-06-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.