FADI BADLISSI (NPI# 1134118714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134118714 |
| Entity Type | Individual |
| Full Name | FADI BADLISSI |
| Credential | M.D. |
| Practice Address |
545a Centre St Jamaica Plain MA 02130-2061 |
| Mailing Address |
545a Centre St Urban Medical Group Jamaica Plain MA 02130-2061 |
| Practice Telephone | 6175225464 |
| Practice Fax Number | 6175242966 |
| Mailing Telephone | 6175225464 |
| Mailing Fax Number | 6175242966 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
158553 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
158553 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2024811 | 05 |
| Street Address |
545A CENTRE ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326037219 | Roger Greenwood Mark | Internal Medicine | 545a Centre St, Jamaica Plain, MA 02130-2061 | 2005-10-14 |
| 1811267131 | Laura Reis | Family Medicine | 545a Centre St, Jamaica Plain, MA 02130-2061 | 2012-01-03 |
| 1912236498 | Meaghan O'neil Smith | Nurse Practitioner | 545a Centre St, Jamaica Plain, MA 02130 | 2009-12-13 |
| 1679750939 | Tatyana Mesh | Nurse Practitioner | 545a Centre St, Jamaica Plain, MA 02130-2061 | 2008-01-29 |
| 1194913012 | Mayra Ivelisse Cruz Polanco | Internal Medicine | 545a Centre St, Jamaica Plain, MA 02130-2061 | 2007-10-04 |
| 1720164486 | Gail Weiner | Nurse Practitioner | 545a Centre St, Jamaica Plain, MA 02130 | 2006-10-27 |
| 1881770543 | Judith Sweeney | Nurse Practitioner | 545a Centre St, Jamaica Plain, MA 02130 | 2006-10-27 |
| 1477638419 | Gail Metcalf | Nurse Practitioner | 545a Centre St, Jamaica Plain, MA 02130 | 2006-10-26 |
| 1548342264 | Laura Allen | Nurse Practitioner | 545a Centre St, Jamaica Plain, MA 02130 | 2006-10-20 |
| 1114009776 | Susan Kuriakose | Nurse Practitioner | 545a Centre St, Jamaica Plain, MA 02130 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083682058 | Derrick James Todd | Internal Medicine | 1153 Centre St, Faulkner Hospital, Suite 48, Jamaica Plain, MA 02130-3446 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164041349 | American Arthritis & Rheumatology Associates Ma PC | Internal Medicine | 1351 Main St Ste 5, Brockton, MA 02301-7153 | 2020-04-08 |
| 1144757337 | Gertrud M. Rastalsky Md LLC | Internal Medicine | 822 Boylston St Ste 100, Chestnut Hill, MA 02467-2504 | 2017-05-18 |
| 1124405105 | Elizabeth T Curtis, Md | Internal Medicine | 867 Turnpike St, North Andover, MA 01845-6142 | 2015-04-29 |
| 1093109142 | Benjamin Patrick Persons | Internal Medicine | 725 Albany St Ste 7b, Boston, MA 02118 | 2015-03-26 |
| 1295145811 | Chio Yokose | Internal Medicine | 55 Fruit Street Bulfinch 165, Boston, MA 02114 | 2014-05-05 |
| 1487096996 | Dilpreet Kaur Singh | Internal Medicine | 3377 Main Street, Springfield, MA 01107-1111 | 2013-07-25 |
| 1346681038 | Linet Martirossian | Internal Medicine | 72 E Concord St Fl 5, Boston, MA 02118-2307 | 2013-07-10 |
| 1710112685 | Robert S Pinals | Internal Medicine | 18 Pickman Dr, Bedford, MA 01730-1005 | 2009-05-21 |
| 1982854154 | Noreen F. Bedini Ferrante | Internal Medicine | 1 Lyons St., Dedham Medical Associates, Inc., Dedham, MA 02026 | 2008-09-24 |
| 1518132059 | Barton L Wise | Internal Medicine | 720 Harrison Ave Ste 401, Boston, MA 02118-2371 | 2008-04-25 |
| Find all providers with the same taxonomy | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on FADI BADLISSI.
| 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.