Nadim Jiwa, MB BS

Primary specialty

Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X

License

275077 Issued in MA

Practice address

60 Fenwood Rd
Boston, MA 02115-6128

Phone

(617) 525-7846

NPI assigned

Aug 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1144700535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MORAINE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304308",
            "telephone_number": "857-361-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FENWOOD RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156128",
            "telephone_number": "617-525-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIWA",
        "first_name": "NADIM",
        "name_prefix": "Dr.",
        "credential": "MB BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "MA",
            "license": "275077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CDW961929714",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yang Jin, MD
• Ishita Jindal, MD
• Shivani Jindal, M.D.
• Monica Ajay Jinsi
• Caroline Deborah Jirka, MD
• JK Dental Group Boston, P.C.
• JL Plastic Surgery, Inc.
• Diane Jo
• Jason J Jo, MD
• Patricia Jo

• Neuromuscular Medicine (Psychiatry & Neurology) Physician in Boston, MA
• Providers in Boston, MA by specialty
• Neuromuscular Medicine (Psychiatry & Neurology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.