Organization Active NPI

Gregory Talalayevsky, MD PC

  • Internal Medicine Physician
  • Hyde Park, MA
National Provider Identifier
1033107693
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51654 Issued in MA
Legal business name
GREGORY TALALAYEVSKY, MD PC
Practice address
1272 Hyde Park Ave Num 74
Hyde Park, MA 02136-2702
Phone
(617) 364-6221
Fax
(617) 272-3640
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory Talalayevsky, M.D.NPI 1487699245
Title
Owner
Phone
(617) 364-6221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 51654 MA Primary

Addresses

Primary practice location

1272 Hyde Park Ave Num 74
Hyde Park, MA 02136-2702

Mailing address

1272 Hyde Park Ave
Hyde Park, MA 02136-2702
Phone (617) 364-6221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170921002465 MA Part B Supplier - Clinic/Group Practice 4587938055 Receives reassigned benefits from 2 practitioners
Practice locations: Hyde Park, MA

National Provider Directory

National Provider Directory

Locations

1272 Hyde Park Ave
#74
Hyde Park, MA 02136
Phone (617) 364-6221

1272 Hyde Park Ave
Hyde Park, MA 02136
Phone (617) 364-6221

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033107693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 HYDE PARK AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362702",
            "telephone_number": "617-364-6221",
            "fax_number": "617-364-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 HYDE PARK AVE NUM 74",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362702",
            "telephone_number": "617-364-6221",
            "fax_number": "617-272-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY TALALAYEVSKY, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TALALAYEVSKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-364-6221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "51654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.