HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC NPI 1235218843

NPI Information

  • NPI: 1235218843
  • Provider Name: HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Organization
  • Doing Business As: NEONATOLOGY - HMFP AT BIDMC
  • Address: 330 BROOKLINE AVE
    BOSTON, MA
    ZIP 02215
  • Phone: (617) 667-3276

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NPI Details

HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC is a neonatal-perinatal medicine pediatrics in Boston, MA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC NPI is 1235218843. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Neonatology - Hmfp At Bidmc.

The provider's business location address is:

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 667-3276

The provider's authorized official is Alexandra Boer Kimball .
The authorized official title is Chief Executive Officer and has the following contact phone number (617) 632-7441.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/5/2024.

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
12080N0001XPediatricsNeonatal-Perinatal MedicineYes

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
1M17130OTHERMASSACHUSETTSBCBS GROUP NUMBER
2680348OTHERMASSACHUSETTSTUFTS GROUP NUMBER
39755799MEDICAIDMASSACHUSETTS

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: 3/30/2025

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