Active NPI
Yechiel Nisan Gellman, MD, MSC
- Orthopaedic Foot and Ankle Surgery Physician
- Boston, MA
National Provider Identifier
1093210718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 270574
- Practice address
- New England Baptist Hospital
125 Parker Hill Avenue
Boston, MA 02120-2847 - Phone
- (857) 753-8722
- NPI assigned
- Mar 26, 2018
- 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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 270574 | MA | Primary |
Addresses
Primary practice location
New England Baptist Hospital
125 Parker Hill Avenue
Boston, MA 02120-2847
Mailing address
1731 Beacon St Apt 4
Brookline, MA 02445-5322
Phone (857) 753-8722
Other practice location 1
Boston Out-Patient Surgical Suites
840 Winter Street
Waltham, MA 02451
Phone (781) 209-5645
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 |
|---|---|---|---|
| 270574 | MA | MD | Orthopaedic Foot and Ankle Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1093210718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 BEACON ST APT 4",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024455322",
"telephone_number": "857-753-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEW ENGLAND BAPTIST HOSPITAL",
"address_2": "125 PARKER HILL AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021202847",
"telephone_number": "857-753-8722"
}
],
"practiceLocations": [
{
"address_1": "Boston Out-Patient Surgical Suites",
"address_2": "840 Winter Street",
"address_purpose": "LOCATION",
"city": "Waltham",
"state": "MA",
"postal_code": "02451",
"country_code": "US",
"telephone_number": "781-209-5645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELLMAN",
"first_name": "YECHIEL",
"middle_name": "NISAN",
"name_prefix": "Dr.",
"credential": "MD, MSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "MA",
"license": "270574",
"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 Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.