DR. JOHN ELLERY MUNZENRIDER MD NPI 1215961206

NPI Information

  • NPI: 1215961206
  • Provider Name: DR. JOHN ELLERY MUNZENRIDER, MD
  • Classification: Radiology - 2085R0203X
  • Specialization: Therapeutic Radiology
  • Entity Type: Individual
  • Address: 55 FRUIT STREET
    NPT 107 RADIATION ONCOLOGY
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 726-6876

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NPI Details

DR. John Ellery Munzenrider, MD is a therapeutic radiology radiology in Boston, MA. The provider is therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology. DR. John Ellery Munzenrider, MD NPI is 1215961206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT STREET
NPT 107 RADIATION ONCOLOGY
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-6876
Fax: (617) 726-2098

The enumeration date for this NPI number is 7/10/2006 and was last updated on 9/11/2025.

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
12085R0001XRadiologyRadiation Oncology32285MASSACHUSETTSNo
22085R0203XRadiologyTherapeutic Radiology32285MASSACHUSETTSYes

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
13059243MEDICAIDMASSACHUSETTS
2033285OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3M07698OTHERMASSACHUSETTSBCBS MA

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

NPI Synchronization or Removal

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