Jonathan Mogen (NPI# 1932496619, PAC ID# 8628346475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1932496619 |
| PAC ID by PECOS | 8628346475 |
| Professional Enrollment ID | I20170620000372 |
| Full Name | Jonathan Mogen |
| Organization Legal Name | SOUTH SHORE RADIOLOGICAL ASSOCIATES, INC. |
| Address |
26 Rockway Ave Weymouth MA 02188-3906 |
| Phone Number | 7813400154 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6507838810 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220100 | SOUTH SHORE HOSPITAL |
| 220162 | DANA-FARBER CANCER INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 55 Fogg Rd, South Weymouth, MA 02190-2432 | 7813408000 | SOUTH SHORE RADIOLOGICAL ASSOCIATES, INC. |
| 26 Rockway Ave, Weymouth, MA 02188-3906 | 7813400154 | SOUTH SHORE RADIOLOGICAL ASSOCIATES, INC. |
| Organization Legal Name | SOUTH SHORE RADIOLOGICAL ASSOCIATES, INC. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Thomas Colucci | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| James N Suojanen | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 55 Fogg Rd, South Weymouth, MA 02190-2432 |
| Robert L Gore | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 55 Fogg Rd, South Weymouth, MA 02190-2432 |
| Jonathan Opraseuth | Interventional Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Ori Preis | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| James S Bezreh | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 55 Fogg Rd, South Weymouth, MA 02190-2432 |
| Essmaeel H Abdel Dayem | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 55 Fogg Rd, South Weymouth, MA 02190-2432 |
| Julia Seol | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Ellen B Morris | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 55 Fogg Rd, South Weymouth, MA 02190-2432 |
| Linda R Mason | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Street Address |
26 ROCKWAY AVE |
| City | WEYMOUTH |
| State | MA |
| Zip | 02188-3906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Thomas Colucci | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Jonathan Opraseuth | Interventional Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Ori Preis | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Julia Seol | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Linda R Mason | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Justin J Campbell | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Jennifer L Lynch | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| John Cavanaugh | Diagnostic Radiology | South Shore Radiological Associates, Inc. | 26 Rockway Ave, Weymouth, MA 02188-3906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tenzin Choephel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Emily Clipston | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Erin Dewey | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| David Clarke | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Alexandra Windwer | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Jordan Beguerie | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Erin L Mason | Occupational Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Timothy Mchale | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Alec Ceccon | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Kendall Percich | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Find all physicians in zip 02188 | |||
| City | WEYMOUTH |
| Zip Code | 02188 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WEYMOUTH + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.