Individual provider Active NPI

Joseph Pearlberg, M.D., PHD

  • Medical Oncology Physician
  • Boston, MA
National Provider Identifier
1164536066
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
229757 Issued in MA
Practice address
240 Longwood Ave
Harvard Medical School, Lhrrb Room 212
Boston, MA 02115-5701
Phone
(617) 943-0067
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229757 MA
Medical Oncology Physician 207RX0202X 229757 MA Primary

Addresses

Primary practice location

240 Longwood Ave
Harvard Medical School, Lhrrb Room 212
Boston, MA 02115-5701

Mailing address

24 Grovenor Rd
Jamaica Plain, MA 02130-2596
Phone (617) 522-4756

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
229757MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1164536066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GROVENOR RD",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302596",
            "telephone_number": "617-522-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LONGWOOD AVE",
            "address_2": "HARVARD MEDICAL SCHOOL, LHRRB ROOM 212",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155701",
            "telephone_number": "617-943-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLBERG",
        "first_name": "JOSEPH",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229757",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MA",
            "license": "229757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.