Active NPI
Julia Takahashi McManus, MD
- Specialist
- Dorchester, MA
National Provider Identifier
1023252251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 251836
- Practice address
- 398 Neponset Ave
Dorchester, MA 02122 - Phone
- (617) 282-3200
- Fax
- (617) 825-8577
- NPI assigned
- May 1, 2009
- Last updated
- Jan 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 251836 | MA | Primary |
Addresses
Primary practice location
398 Neponset Ave
Dorchester, MA 02122
Mailing address
1135 Morton Street
Mattapan, MA 02126
Phone (617) 533-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251836 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1023252251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 MORTON STREET",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "02126",
"telephone_number": "617-533-2300",
"fax_number": "617-533-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 NEPONSET AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02122",
"telephone_number": "617-282-3200",
"fax_number": "617-825-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS",
"first_name": "JULIA",
"middle_name": "TAKAHASHI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-01",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "251836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.