DR. JENNIFER WILLIAMS MACK MD MPH NPI 1225006398

NPI Information

NPI: 1225006398
Provider Name: DR. JENNIFER WILLIAMS MACK, MD MPH
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
44 BINNEY ST
454 SUITE 21
BOSTON, MA
ZIP 02115
Phone: (617) 632-6818
Get Directions

DR. Jennifer Williams Mack, MD MPH is a pediatric hematology-oncology pediatrics in Boston, MA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Jennifer Williams Mack, MD MPH NPI is 1225006398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

44 BINNEY ST
454 SUITE 21
BOSTON, MA
ZIP 02115
Phone: (617) 632-6818
Fax: (617) 632-2270

The NPI 1225006398 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 3/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	212529	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AA11960	OTHER		HPHC
2	J27212	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
3	A36517	MEDICARE ID-TYPE UNSPECIFIED
4	212529	OTHER		TUFTS
5	I01844	MEDICARE UPIN
6	2036436	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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