JOHN L. NILES MD, PLLC (NPI# 1144656364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144656364 |
| Entity Type | Organization |
| Organization Name | JOHN L. NILES MD, PLLC |
| Practice Address |
101 Merrimac St 1st Floor Boston MA 02114-4724 |
| Practice Telephone | 6177264132 |
| Practice Fax Number | 6177264213 |
| Mailing Telephone | 6177264132 |
| Mailing Fax Number | 6177264213 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | DR. JOHN L NILES (OWNER) |
| Authorized Official Telephone | 6177264132 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
54243 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HPHC | AA399963 | 01 |
| Street Address |
101 MERRIMAC ST 1ST FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215924311 | Laura Gaeta Kehoe | Internal Medicine | 101 Merrimac St, Suite 1000, Boston, MA 02114-4724 | 2005-10-04 |
| 1083080998 | Jamie Elizabeth Krzmarzick | Nurse Practitioner | 101 Merrimac St, Suite 1000, Boston, MA 02114-4724 | 2015-08-14 |
| 1487039160 | Laura Harward | Social Worker | 101 Merrimac St, Suite 250, Boston, MA 02114-4724 | 2015-07-23 |
| 1619364122 | Valerie Brathwaite | Social Worker | 101 Merrimac St, Suite 250, Boston, MA 02114-4724 | 2015-04-22 |
| 1346667409 | Ann Stewart | Social Worker | 101 Merrimac St, 250, Boston, MA 02114-4724 | 2014-03-26 |
| 1083053722 | Anushya Jeyabalan | Internal Medicine | 101 Merrimac St, Boston, MA 02114-4724 | 2013-06-16 |
| 1417392440 | Jessica Monique Hu | Internal Medicine | 101 Merrimac St, Suite 1000, Boston, MA 02114-4724 | 2013-05-03 |
| 1245591098 | Aaron R. Hoffman | Family Medicine | 101 Merrimac St, Suite 1000, Boston, MA 02114-4724 | 2012-06-07 |
| 1194031278 | Lauren Kristi Richards | Counselor | 101 Merrimac St, Suite 250, Boston, MA 02114-4724 | 2010-08-26 |
| 1619156163 | Martha Louise Stewart | Nurse Practitioner | 101 Merrimac St, Rm. 420, Boston, MA 02114-4724 | 2007-11-01 |
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| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033563051 | Boston University | Clinic/Center | 85 E Concord St, 7th Floor, Boston, MA 02118-2335 | 2016-04-15 |
| 1437515731 | Age Management Boston | Clinic/Center | 20 Park Plz, Suite 804, Boston, MA 02116-4303 | 2016-01-04 |
| 1265578330 | Massachusetts General Hospital | Clinic/Center | 32 Fruit St, Yawkey 6800-6b, Boston, MA 02114-2620 | 2007-01-29 |
| 1821141649 | Massachusetts General Hospital | Clinic/Center | 55 Fruit St, Suite 805 Wang, Boston, MA 02114-2621 | 2007-01-18 |
| 1215095526 | Boston Medical & Rheumatologic Associates Inc | Clinic/Center | 151 Merrimac St, Suite 201, Boston, MA 02114-4714 | 2006-12-05 |
| 1730123019 | Beith Isreal Deaconess Medical Center | Clinic/Center | 110 Francis St, Suite 3-b, Boston, MA 02215-5501 | 2006-06-16 |
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| 1578034641 | Zuhayr Hemady Md Bi PC | Clinic/Center | 1261 Furnace Brook Pkwy Ste 33, Quincy, MA 02169-4762 | 2018-12-16 |
| 1528448693 | Dr. Susan Rodgin | Clinic/Center | 39 W Plain St, Wayland, MA 01778-4409 | 2015-06-04 |
| 1205215373 | Mass Medical Group, LLC | Clinic/Center | 200 Central St, Suite #2, Lowell, MA 01852-2201 | 2015-05-22 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1053740241 | Aesthetic Plastic Surgery of North Shore PC | Clinic/Center | 900 Cummings Ctr Ste 301u, Beverly, MA 01915-6181 | 2013-11-07 |
| 1518217694 | Sarah M Barnett Md Pllc | Clinic/Center | 119 Drum Hill Rd # 128, Chelmsford, MA 01824-1505 | 2012-09-14 |
| 1255687166 | James V Kowalski M.d. P.C. | Clinic/Center | 795 W Main St, Hyannis, MA 02601-3424 | 2012-07-29 |
| 1548564073 | Mind Body Healthlink | Clinic/Center | 26 Castle Rd, Northborough, MA 01532-1249 | 2010-12-23 |
| 1316184005 | Simon Faynzilbergmd PC | Clinic/Center | 157 Winthrop Rd Unit 2, Brookline, MA 02445-4642 | 2009-01-16 |
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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.