INNOVARE MEDICAL PC NPI 1184455438

NPI Information

  • NPI: 1184455438
  • Provider Name: INNOVARE MEDICAL, PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 22D2320060
  • Address: 1180 BEACON ST STE 4A
    BROOKLINE, MA
    ZIP 02446
  • Phone: (508) 654-8496

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NPI Details

INNOVARE MEDICAL, PC is an internal medicine in Brookline, MA. The provider is 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. INNOVARE MEDICAL, PC NPI is 1184455438. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1180 BEACON ST STE 4A
BROOKLINE, MA
ZIP 02446-806
Phone: (508) 654-8496

The provider's authorized official is Ping Jin .
The authorized official title is Secretary and has the following contact phone number (774) 641-7020.

The CLIA number assigned to this NPI record is 22D2320060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2024 and was last updated on 8/9/2024.

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
1207R00000XInternal MedicineYes
2207RN0300XInternal MedicineNephrologyNo

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: 11/21/2025

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