SUSAN P PERRINE MD NPI 1427035302

NPI Information

NPI: 1427035302
Provider Name: SUSAN P PERRINE, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
830 HARRISON AVE
MOAKLEY, 3RD FLOOR
BOSTON, MA
ZIP 02118
Phone: (617) 638-6428
Get Directions

Susan P Perrine, MD 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. Susan P Perrine, MD NPI is 1427035302. 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:

830 HARRISON AVE
MOAKLEY, 3RD FLOOR
BOSTON, MA
ZIP 02118-905
Phone: (617) 638-6428
Fax: (617) 638-5756

The NPI 1427035302 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 12/30/2005 and was last updated on 4/7/2014.

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	207RH0003X	Internal Medicine	Hematology & Oncology	42952	MASSACHUSETTS	No
2	208000000X	Pediatrics		42952	MASSACHUSETTS	No
3	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	42952	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
1	TX4974	MEDICARE PIN	MASSACHUSETTS
2	J31049	MEDICARE PIN	MASSACHUSETTS
3	110055287A	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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