Individual provider Active NPI

Justin D. Pearlman, MD ME PHD MA

  • Cardiovascular Disease Physician
  • Brookline, MA
National Provider Identifier
1043311277
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
56466 Issued in MA
Practice address
25 Goddard Cir
Brookline, MA 02445-7404
Phone
(617) 894-6888
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 56466 MA Primary
Cardiovascular Disease Physician 207RC0000X E-20901 AR

Addresses

Primary practice location

25 Goddard Cir
Brookline, MA 02445-7404

Mailing address

25 Goddard Cir
Brookline, MA 02445-7404
Phone (617) 894-6888

Other practice location 1

One Medical Center Drive
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756-1000
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120601000443 CA Practitioner - Cardiovascular Disease (Cardiology) 0749187565 Reassigns benefits to 1 organization
I20160202000807 PA Practitioner - Cardiovascular Disease (Cardiology) 0749187565 Reassigns benefits to 1 organization
I20161208001612 ME Practitioner - Cardiovascular Disease (Cardiology) 0749187565 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Arts, Doctor of Medicine, Master of Engineering, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
56466MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Sep 23, 2019 Accepting new patients
Bridgton Hospital CurrentSince Sep 23, 2019 Accepting new patients
Virtuox, LLC CurrentSince Oct 1, 2021 Accepting new patients
Confermed of California PC Internal Medicine CurrentSince May 19, 2024 Accepting new patients
Bridgton Hospital CurrentSince Sep 23, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Dec 1, 2015 Accepting new patients
Central Maine Medical Center CurrentSince Sep 23, 2019 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Dec 1, 2015 Accepting new patients
Lahey Clinic, Inc Internal Medicine Past Accepting new patients
Confermed PC Internal Medicine Past Accepting new patients
Lahey Clinic, Inc. Internal Medicine Past Accepting new patients

Locations

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

4600 Campus Dr
Ste 203
Newport Beach, CA 92660
Phone (617) 259-5933

11 Silver St
Unit 856
Middletown, CT 06457

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1043311277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GODDARD CIR",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457404",
            "telephone_number": "617-894-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GODDARD CIR",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457404",
            "telephone_number": "617-894-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Medical Center Drive",
            "address_2": "Dartmouth Hitchcock Medical Center",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARLMAN",
        "first_name": "JUSTIN",
        "middle_name": "D.",
        "credential": "MD ME PHD MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "56466",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-20901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.