Active NPI
Joshua Kruger, MD, PHD
- Ophthalmology Physician
- Boston, MA
National Provider Identifier
1023390192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 247943
- Practice address
- 243 Charles Street
Massachusetts Eye and Ear Infirmary
Boston, MA 02114 - Phone
- (617) 935-5838
- Fax
- (617) 573-3851
- NPI assigned
- Sep 15, 2011
- Last updated
- Sep 15, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 247943 | MA | Primary |
Addresses
Primary practice location
243 Charles Street
Massachusetts Eye and Ear Infirmary
Boston, MA 02114
Mailing address
243 Charles Street
Massachusetts Eye and Ear Infirmary
Boston, MA 02114
Phone (617) 935-5838
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247943 | MA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1023390192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CHARLES STREET",
"address_2": "MASSACHUSETTS EYE AND EAR INFIRMARY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-935-5838",
"fax_number": "617-573-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CHARLES STREET",
"address_2": "MASSACHUSETTS EYE AND EAR INFIRMARY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-935-5838",
"fax_number": "617-573-3851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "247943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.