Active NPI
Kelley Ann Zwicker, MSC, MD, FRCPC
- Surgery Physician
- Brookline, MA
National Provider Identifier
1023358835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 28686
- Practice address
- 131 Freeman St
Suite 2
Brookline, MA 02446-3590 - Phone
- (617) 755-1533
- NPI assigned
- Feb 15, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 28686 | ZZ | Primary |
Addresses
Primary practice location
131 Freeman St
Suite 2
Brookline, MA 02446-3590
Mailing address
131 Free
131 Freeman Street
Boston, MA 02446
Phone (617) 755-1533
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28686 | ZZ | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1023358835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 FREE",
"address_2": "131 FREEMAN STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-755-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 FREEMAN ST",
"address_2": "SUITE 2",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463590",
"telephone_number": "617-755-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWICKER",
"first_name": "KELLEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MSC, MD, FRCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ZZ",
"license": "28686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.