Organization Active NPI

Don R Jaffe, M.D., P.C.

  • Specialist
  • Middleboro, MA
National Provider Identifier
1093838625
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31230 Issued in MA
Legal business name
DON R JAFFE, M.D., P.C.
Practice address
511 W Grove St Ste 306
Middleboro, MA 02346-1479
Phone
(508) 946-1320
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Don R Jaffe, M.D.NPI 1457352031
Title
President
Phone
(508) 946-1320

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 31230 MA Primary

Addresses

Primary practice location

511 W Grove St Ste 306
Middleboro, MA 02346-1479

Mailing address

511 W Grove St Ste 306
Middleboro, MA 02346-1479

Other identifiers 2

IdentifierTypeStateIssuer
9753281MedicaidMA
M14190OtherMABLUE SHIELD OF MA

National Provider Directory

National Provider Directory

Locations

511 W Grove St
Ste 306
Middleboro, MA 02346
Phone (508) 946-1320

Practitioners & affiliated clinicians

Practitioners 2

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1093838625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST STE 306",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST STE 306",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461479",
            "telephone_number": "508-946-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON R JAFFE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-946-1320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "31230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9753281",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "M14190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.