NPIMap

Individual provider Active NPI

Jared Conley, M.D., PH.D., M.P.H

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1144615717
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
277980 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(617) 726-2000
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 277980 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

5 Emerson PL Ste 101
Boston, MA 02114-2240
Phone (857) 307-0864

Other practice location 1

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-8070

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
I20190520000979 MA Practitioner - Emergency Medicine 4284949215 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277980MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center Inc. CurrentSince Dec 1, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Nantucket Cottage Hospital Current Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Dec 1, 2024 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Dec 1, 2024 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jul 1, 2019 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Nantucket Cottage Hospital CurrentSince Nov 1, 2024 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Dec 1, 2024 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Dec 1, 2024 Accepting new patients
General Hospital Corp Current Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2019 Accepting new patients
Nantucket Physicians Organization CurrentSince Nov 1, 2024 Accepting new patients
Fairview Hospital CurrentSince Dec 1, 2024 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

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

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: conley.jared.mgh@direct.partners.masshiway.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1144615717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EMERSON PL STE 101",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142240",
            "telephone_number": "857-307-0864",
            "fax_number": "617-394-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-732-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "JARED",
        "credential": "M.D., PH.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "277980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.