HEBREW SENIORLIFE AFFILIATED MEDICAL GROUP INC (NPI# 1477069391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477069391 |
| Entity Type | Organization |
| Organization Name | HEBREW SENIORLIFE AFFILIATED MEDICAL GROUP INC |
| Practice Address |
1200 Centre St Roslindale MA 02131-1000 |
| Practice Telephone | 6179715766 |
| Practice Fax Number | 6173638913 |
| Mailing Telephone | 6179715766 |
| Mailing Fax Number | 6173638913 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | LISE PAUL (VP REIMBURSEMENT) |
| Authorized Official Telephone | 6179715766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1200 CENTRE ST |
| City | ROSLINDALE |
| State | MA |
| Zip Code | 02131-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607917 | Frederick Rowland | Internal Medicine | 1200 Centre St, Department of Medicine, Roslindale, MA 02131-1000 | 2005-05-23 |
| 1013517911 | Madeleine Bonneville | Physical Therapist | 1200 Centre St, Roslindale, MA 02131-1011 | 2020-10-29 |
| 1295384436 | Alaa H Qari | Student in an Organized Health Care Education/Training Program | 1200 Centre St, Roslindale, MA 02131-1000 | 2019-09-10 |
| 1790338473 | Prajakta Joshi | Student in an Organized Health Care Education/Training Program | 1200 Centre St, Roslindale, MA 02131-1000 | 2019-07-22 |
| 1003395922 | Madeleine Wan Yong Tan | Dentist | 1200 Centre St, Roslindale, MA 02131-1000 | 2018-08-10 |
| 1962929604 | Rachael Falk | Psychologist | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-08-24 |
| 1154847507 | Geraldo Silva | Nurse Practitioner | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-08-17 |
| 1114360195 | Olivia Justine Liff | Family Medicine | 1200 Centre St, Roslindale, MA 02131-1000 | 2013-04-09 |
| 1194078220 | Susan A Poludniak | Dietitian, Registered | 1200 Centre St, Department of Medicine, Roslindale, MA 02131-1011 | 2012-10-26 |
| 1205189032 | Patricia Aie-lan Wong | Nurse Practitioner | 1200 Centre St, Roslindale, MA 02131-1000 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120513 | Wells of Wellness, LLC | Registered Nurse | 993 South Street, Apt, Suite, Floor, Etc., Roslindale, MA 02131 | 2020-10-08 |
| 1760952881 | Patricia J Dunn | Social Worker | 51 Braden Street, Roslindale, MA 02131 | 2018-12-01 |
| 1750864518 | Maria T. Alvarado | Social Worker | 18 Manusr Street, Roslindale, MA 02131 | 2018-09-07 |
| 1306342951 | Roslindale Center Chiropractic Inc | Chiropractor | 17 Corinth St, Roslindale, MA 02131 | 2018-04-03 |
| 1629511241 | Maddy Morrin | Student in an Organized Health Care Education/Training Program | 17 Archdale Rd, Roslindale, MA 02131 | 2016-11-30 |
| 1346600434 | Stephanie Messina | Student in an Organized Health Care Education/Training Program | Home for Little Wanderers Clinic, 780 American Legion Hwy, Roslindale, Ma 02131, Roslindale, MA 02131 | 2016-03-02 |
| 1497143762 | Priority Home Care Services LLC | Home Health | 43 Cummins High Way, Suite 3, Boston, MA 02131 | 2015-01-08 |
| 1841610078 | Ryan Kennedy | Student in an Organized Health Care Education/Training Program | 478 American Legion Highway, Roslindale, MA 02131 | 2014-04-28 |
| 1780011833 | Casey A Pagliaro | Marriage & Family Therapist | 4238 Washington Street, Suite 316, The Leggett Group, Roslindale, MA 02131 | 2013-10-03 |
| 1902238025 | Ann Wheeler | Social Worker | Thlw 780 American Legion Highway, Roslindale, MA 02131 | 2013-07-31 |
| Find all providers in zip 02131 | ||||
| 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 |
|---|---|---|---|---|
| 1225212335 | Mendes Medical Assoc. PC | Internal Medicine | 55 Belgade Ave, Roslindale, MA 02131-2413 | 2007-12-26 |
| 1699723627 | Matthew L. Russell | Internal Medicine | 1200 Centre Street, Department of Medicine, Roslindale, MA 02131 | 2006-05-04 |
| 1679533871 | Alida Gina Aska | Internal Medicine | 942 South St, Roslindale, MA 02131-2314 | 2006-03-23 |
| 1659347961 | Antonio C Mendes | Internal Medicine | 55 Belgrade Ave, Roslindale, MA 02131-2413 | 2006-02-27 |
| 1376775130 | Hassan Arif | Internal Medicine | 1200 Centre St, Roslindale, MA 02131 | 2009-08-12 |
| 1720105596 | Michael Francis Zito | Internal Medicine | 149 Belgrade Ave, Roslindale, MA 02131-2416 | 2007-03-24 |
| 1689701674 | Rebecca Tyler Brown | Internal Medicine | 1200 Centre St, Department of Medicine, Roslindale, MA 02131-1011 | 2007-02-27 |
| 1104986959 | Trimble S Augur | Internal Medicine | 1200 Centre Street, Department of Medicine, Roslindale, MA 02131 | 2006-12-11 |
| 1205949617 | Susan L Mitchell | Internal Medicine | 1200 Centre St, Hebrew Rehabilitation Center for Aged, Roslindale, MA 02131 | 2006-08-17 |
| 1154381721 | David Wayne Chen | Internal Medicine | 942 South St, Roslindale, MA 02131-2314 | 2006-03-27 |
| Find all providers in ROSLINDALE | ||||
| City | ROSLINDALE |
| Zip Code | 02131 |
Please comment or provide details below to improve the information on HEBREW SENIORLIFE AFFILIATED MEDICAL GROUP INC.
| 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.