Individual provider Active NPI

Jill Elise Becker, M.D.

  • General Practice Physician
  • Framingham, MA
National Provider Identifier
1114189024
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
204630 Issued in MA
Practice address
7 Eaton Rd
Framingham, MA 01701-3317
Phone
(617) 943-4274
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 204630MB0422 MA
General Practice Physician 208D00000X 204630 MA Primary

Addresses

Primary practice location

7 Eaton Rd
Framingham, MA 01701-3317

Mailing address

7 Eaton Rd
Framingham, MA 01701-3317
Phone (617) 943-4274

Other practice location 1

4 Richmond St
Weymouth, MA 02188-2519
Phone (508) 951-0847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210311000308 MA Practitioner - General Practice 5799064184 Reassigns benefits to 1 organization
Practice locations: Brockton, MA; Marlborough, MA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Massachusetts Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Torrey St
Suite 5B
Brockton, MA 02301-4800
Phone (508) 969-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204630MB0422MAMDAdult Medicine Physician
204630MAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Medical Wellness LLC General Practice CurrentSince Jul 8, 2024 Accepting new patients
Warren J Becker MD Facog Gynecology Past Accepting new patients
Warren J Becker MD Facog Past Accepting new patients
Kathleen Schuster PSYD PLLC PastSince Jul 6, 2021 Accepting new patients

Locations

111 Torrey St
Ste 5B
Brockton, MA 02301
Phone (508) 969-1020

640 Bolton St
Ste 2
Marlborough, MA 01752
Phone (508) 969-1020

Organizations & group practices 4

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1114189024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EATON RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013317",
            "telephone_number": "617-943-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EATON RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013317",
            "telephone_number": "617-943-4274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Richmond St",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021882519",
            "country_code": "US",
            "telephone_number": "508-951-0847",
            "fax_number": "508-921-4613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JILL",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "204630MB0422",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "204630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.