Organization Active NPI

JL Plastic Surgery, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Boston, MA
National Provider Identifier
1013575091
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
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

Updated by the provider on Feb 15, 2023

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.