NPIMap

Individual provider Active NPI

Jennifer N. Skolnick, MD

  • Emergency Medicine Physician
  • Dorchester Center, MA
National Provider Identifier
1114975380
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
208549 Issued in MA
Practice address
2100 Dorchester Ave
Cantas Carney Hospital
Dorchester Center, MA 02124-5615
Phone
(617) 296-4000
NPI assigned
May 4, 2006
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 208549 MA Primary

Addresses

Primary practice location

2100 Dorchester Ave
Cantas Carney Hospital
Dorchester Center, MA 02124-5615

Mailing address

736 Cambridge St
Caritas Medical Group
Brighton, MA 02135-2907
Phone (617) 296-4000

Other identifiers 1

IdentifierTypeStateIssuer
110002643AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000669 MA Practitioner - Emergency Medicine 7012935257 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medical Associates-EbnhcGroup PAC ID 6103814371, 239 clinicians

Practice addresses (Care Compare)

10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Ebnhc Current Accepting new patients
Neighborhealth Corporation CurrentSince Feb 1, 2021 Accepting new patients
Boston Emergency Physician Foundation, Inc. Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Nantucket Cottage Hospital CurrentSince Sep 18, 2023 Accepting new patients
Nantucket Cottage Hospital CurrentSince Sep 18, 2023 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Feb 1, 2021 Accepting new patients
Nantucket Physicians Organization CurrentSince Sep 18, 2023 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Caritas Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

70 East St
Methuen, MA 01844
Phone (978) 682-1906

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: jskolnick31132@direct.neighborhealth.masshiway.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1114975380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "address_2": "CARITAS MEDICAL GROUP",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-296-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DORCHESTER AVE",
            "address_2": "CANTAS CARNEY HOSPITAL",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245615",
            "telephone_number": "617-296-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLNICK",
        "first_name": "JENNIFER",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "208549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110002643A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

Verify at the official NPI Registry.