Active NPI
Jamit Dhaliwal, M.D.
- Pain Medicine (Anesthesiology) Physician
- Chestnut Hill, MA
National Provider Identifier
1033497045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 249346
- Practice address
- 850 Boylston St
302B
Chestnut Hill, MA 02467-2477 - Phone
- (617) 732-9057
- Fax
- (617) 732-9050
- NPI assigned
- Jul 25, 2011
- Last updated
- Jul 25, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 249346 | MA | Primary |
Addresses
Primary practice location
850 Boylston St
302B
Chestnut Hill, MA 02467-2477
Mailing address
1080 Beacon St
Apt 4D
Brookline, MA 02446-3992
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 |
|---|---|---|---|
| 249346 | MA | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1033497045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 BEACON ST",
"address_2": "APT 4D",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 BOYLSTON ST",
"address_2": "302B",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672477",
"telephone_number": "617-732-9057",
"fax_number": "617-732-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHALIWAL",
"first_name": "JAMIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-25",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MA",
"license": "249346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.