Active NPI
Jill D Teplensky, M.D.
- Emergency Medicine Physician
- East Boston, MA
National Provider Identifier
1104020155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 219019
- Practice address
- 10 Gove St
East Boston, MA 02128-1920 - Phone
- (617) 569-5800
- Fax
- (617) 568-4780
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 219019 | MA | Primary |
Addresses
Primary practice location
10 Gove St
East Boston, MA 02128-1920
Mailing address
10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800
Other practice location 1
680 Centre St
Brockton, MA 02302-3395
Phone (508) 941-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017555 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caritas Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Brighton, MA
- NPI 1902012511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1104020155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GOVE ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281920",
"telephone_number": "617-569-5800",
"fax_number": "617-568-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GOVE ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281920",
"telephone_number": "617-569-5800",
"fax_number": "617-568-4780"
}
],
"practiceLocations": [
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023395",
"country_code": "US",
"telephone_number": "508-941-7200",
"fax_number": "508-941-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEPLENSKY",
"first_name": "JILL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "219019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017555",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.