NINA CARROLL MD, LLC (NPI# 1851680698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851680698 |
| Entity Type | Organization |
| Organization Name | NINA CARROLL MD, LLC |
| Practice Address |
55 Pond Avenue Brookline MA 02445 |
| Practice Telephone | 6172320202 |
| Practice Fax Number | 6177397203 |
| Mailing Telephone | 6172320202 |
| Mailing Fax Number | 6177397203 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | DR. NINA M CARROLL (PRESIDENT) |
| Authorized Official Telephone | 6172320202 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 57518 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3027228 | 05 |
| Street Address |
55 POND AVENUE |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689983694 | Diana Rucker | Specialist | 17 Gardner Rd, Brookline, MA 02445-4512 | 2010-09-26 |
| 1164619813 | Janine Elizabeth Ferro- Landaverde | Specialist | 43 Hawes St, Brookline, MA 02446-5412 | 2007-09-26 |
| 1457492522 | Ob-gyn Associates, Inc. | Specialist | 1180 Beacon St Ste 7a, Brookline, MA 02446-3806 | 2007-02-09 |
| 1699830778 | Massachusetts Neuro Intervention P.C. | Specialist | 359 Kent St, Brookline, MA 02446-5443 | 2006-12-27 |
| 1053496497 | Boston Laser Eye Institute, PC | Specialist | 1101 Beacon St Ste 6w, Brookline, MA 02446-5587 | 2006-10-26 |
| 1093805590 | Chester Arthur Pearlman | Specialist | 1443 Beacon St Apt 701, Brookline, MA 02446-4712 | 2006-10-13 |
| 1811956329 | Peter Rome Bendetson | Specialist | 1180 Beacon Street, Suite 3a, Brookline, MA 02446-3806 | 2006-03-22 |
| 1720463342 | Moogeh Baharnoori | Specialist | 1284 Beacon St, 514, Brookline, MA 02446-3788 | 2015-07-24 |
| 1912396870 | Leonard B Miller Md PC | Specialist | 1 Brookline Pl, Suite 427, Brookline, MA 02445-7224 | 2015-01-15 |
| 1073702700 | Kristin Taylor Jordan | Specialist | 22 High St, Brookline, MA 02445-7713 | 2007-10-18 |
| Find all providers in BROOKLINE | ||||
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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.