HALLIE LUCILLE JEFFERSON MD NPI 1629799754

NPI Information

  • NPI: 1629799754
  • Provider Name: HALLIE LUCILLE JEFFERSON, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 LONGWOOD AVE # BADEN273
    BOSTON, MA
    ZIP 02115
  • Phone: (617) 355-7932

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NPI Details

Hallie Lucille Jefferson, MD is a pediatric surgery surgery in Boston, MA with 7 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Hallie Lucille Jefferson, MD NPI is 1629799754. 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:

300 LONGWOOD AVE # BADEN273
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-7932

The NPI 1629799754 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 9/7/2022 and was last updated on 3/3/2025.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)036173850ILLINOISNo
22086S0120XSurgeryPediatric Surgery295241MASSACHUSETTSYes

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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