JESSAMYN BLAU (NPI# 1376960690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376960690 |
| Entity Type | Individual |
| Full Name | JESSAMYN BLAU |
| Credential | MD |
| Practice Address |
300 Broadway Somerville MA 02145 |
| Mailing Address |
300 Broadway Somerville MA 02145-2935 |
| Practice Telephone | 6172847000 |
| Mailing Telephone | 6172847000 |
| Mailing Fax Number | 6172847080 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 273664 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
300 BROADWAY |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639701949 | Silvana Silveira Quirino | Counselor | 300 Broadway, Somerville, MA 02145-2935 | 2020-02-05 |
| 1902447824 | Kathleen Carvalho Portes | Health Educator | 300 Broadway, Somerville, MA 02145-2935 | 2019-10-02 |
| 1003478975 | Nicolette M Waite | Clinical Nurse Specialist | 300 Broadway, Somerville, MA 02145-2935 | 2019-07-01 |
| 1669932653 | Lorena Costa Pinheiro | Health Educator | 300 Broadway, Somerville, MA 02145-2935 | 2019-03-25 |
| 1770059297 | Joshetta Gabbidon | Registered Nurse | 300 Broadway, Somerville, MA 02145-2935 | 2018-10-23 |
| 1174025514 | Julie Gavin | Licensed Practical Nurse | 300 Broadway, Somerville, MA 02145-2935 | 2018-03-01 |
| 1134633829 | Perla Ruiz | Licensed Practical Nurse | 300 Broadway, Somerville, MA 02145-2935 | 2017-11-17 |
| 1295287563 | Marta Guerrero | Health Educator | 300 Broadway, Somerville, MA 02145-2935 | 2016-11-02 |
| 1104275536 | Meredith Jones | Social Worker | 300 Broadway, Somerville, MA 02145-2935 | 2016-06-07 |
| 1386091981 | Lesly Valeria Ruelas | Health Educator | 300 Broadway, Somerville, MA 02145-2935 | 2016-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1811478274 | Rolanda Santos Prophete | Counselor | 18 Sargent Ave, Somerville, MA 02145 | 2018-08-23 |
| 1619465101 | Shannon Comer | Registered Nurse | 64 Sycamore St Apartment 1, Somerville, MA 02145 | 2018-04-30 |
| 1184121261 | Deborah Camara | Social Worker | 89 Cross Street, Apt 1, Somerville, MA 02145 | 2018-04-06 |
| 1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
| 1316327018 | Christina Gasbarro | Family Medicine | Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 | 2015-06-08 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1427497015 | Veronica Wu | Physician Assistant | 60 Clyde Street, #5, Somerville, MA 02145 | 2013-06-18 |
| 1790045797 | Cambridge Health Alliance | Rehabilitation Unit | 2 Middlesex Avenue, Somerville, MA 02145 | 2012-05-23 |
| 1871809665 | Lauren Holland | Occupational Therapist | 5 Middlesex Avenue, Somerville, MA 02145 | 2010-08-31 |
| Find all providers in zip 02145 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1265562706 | Ingrid C Soderlund | Internal Medicine | 300 Broadway Street, Sommerville Adult Medicine, Somerville, MA 02143 | 2007-03-06 |
| 1821055450 | Betty Sanchez Catanese | Internal Medicine | 315 East Main St, Somerville, NJ 08876 | 2006-04-27 |
| 1982686325 | Juan G Perez | Internal Medicine | 20 Holland St, Suite 407, Somerville, MA 02144-2700 | 2005-11-18 |
| 1760464606 | David Menon | Internal Medicine | 33 Bow St, Somerville, MA 02143-2937 | 2005-11-16 |
| 1760924229 | Marium Ahmed | Internal Medicine | 110 Rehill Ave, Somerville, NJ 08876-2519 | 2016-11-15 |
| 1245584861 | Central Jersey Internal Medicine Pa | Internal Medicine | 92 E Main St, Suite 201, Somerville, NJ 08876-2319 | 2012-11-05 |
| 1205120862 | Rebecca Elysia Pappo Rogers | Internal Medicine | 300 Broadway, Cambridge Health Alliance, Somerville, MA 02145-2935 | 2011-06-01 |
| 1538467105 | Somerset Medical Care Partners,pc | Internal Medicine | 110 Rehill Ave, Somerville, NJ 08876-2519 | 2011-03-07 |
| 1093949224 | Andrei Mihnea Dobrescu | Internal Medicine | 30 Rehill Ave, Suite 2500, Somerville, NJ 08876-2500 | 2009-05-01 |
| 1881843134 | Med On Call | Internal Medicine | 110 Rehill Ave, Somerville, NJ 08876-2519 | 2008-09-11 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02145 |
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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.