Active NPI
Jerome Federschneider M.D.
- Obstetrics & Gynecology Physician
- Brookline, MA
National Provider Identifier
1043388549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- JEROME FEDERSCHNEIDER M.D.
- Practice address
- 1 Brookline PL
Brookline, MA 02445-7224 - Phone
- (617) 735-8910
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerome Federschneider, M.D.
- Title
- Proprietor
- Phone
- (617) 735-8910
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1 Brookline PL
Brookline, MA 02445-7224
Mailing address
1 Brookline PL
Brookline, MA 02445-7224
Phone (617) 735-8910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18864 | Other | MA | BCBS GROUP # |
| 6191037 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Brookline, MA
- NPI 1306803622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043388549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457224",
"telephone_number": "617-735-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457224",
"telephone_number": "617-735-8910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEROME FEDERSCHNEIDER M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FEDERSCHNEIDER",
"authorized_official_first_name": "JEROME",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "617-735-8910",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "M18864",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6191037",
"state": "MA"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.