Active NPI
JL Plastic Surgery, Inc.
- Plastic and Reconstructive Surgery Physician
- Boston, MA
National Provider Identifier
1013575091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- JL PLASTIC SURGERY, INC.
- Practice address
- 170 Commonwealth Ave
Boston, MA 02116-2704 - Phone
- (617) 340-2822
- NPI assigned
- Jun 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey H Lee, MD
- Title
- Plastic Surgeon
- Phone
- (617) 340-2822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
170 Commonwealth Ave
Boston, MA 02116-2704
Mailing address
170 Commonwealth Ave Ste 112
Boston, MA 02116-2704
Phone (617) 340-2822
Other names 1
- JL Plastic Surgery
National Provider Directory
National Provider DirectoryLocations
170 Commonwealth Ave
Ste 112
Boston, MA 02116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1013575091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 COMMONWEALTH AVE STE 112",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162704",
"telephone_number": "617-340-2822",
"fax_number": "617-340-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 COMMONWEALTH AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162704",
"telephone_number": "617-340-2822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JL PLASTIC SURGERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-04",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PLASTIC SURGEON",
"authorized_official_telephone_number": "617-340-2822",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JL Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.