Active NPI
Georgette Jeanty, M.D.
- Hematology (Internal Medicine) Physician
- Mattapan, MA
National Provider Identifier
1164576658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- 44266
- Practice address
- 1525 Blue Hill Ave
First Floor
Mattapan, MA 02126-1702 - Phone
- (617) 298-0156
- Fax
- (617) 296-2979
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 44266 | MA | Primary |
Addresses
Primary practice location
1525 Blue Hill Ave
First Floor
Mattapan, MA 02126-1702
Mailing address
1525 Blue Hill Ave
Pobox 260368
Mattapan, MA 02126-1702
Phone (617) 298-0156
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001717 | Other | MA | NEIGHBORHOOD HLTH CARE |
| CA0538 | Other | MA | RAILROAD MEDICARE |
| 44266 | Other | MA | TUFTS ASSOCIATED HEALTH |
| 84288 | Other | MA | USH AETNA |
| 66984UH | Other | MA | HARVARD PILGRIM |
| 2085259 | Medicaid | MA | |
| C15090 | Other | MA | BCBS |
Other names 1
- Mrs. Georgette Jeanty Lindor
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44266 | MA | MD | Hematology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164576658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 BLUE HILL AVE",
"address_2": "POBOX 260368",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021261702",
"telephone_number": "617-298-0156",
"fax_number": "617-296-2979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 BLUE HILL AVE",
"address_2": "FIRST FLOOR",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021261702",
"telephone_number": "617-298-0156",
"fax_number": "617-296-2979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANTY",
"first_name": "GEORGETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MA",
"license": "44266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HLTH CARE",
"identifier": "0001717",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA0538",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS ASSOCIATED HEALTH",
"identifier": "44266",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USH AETNA",
"identifier": "84288",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "66984UH",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2085259",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "C15090",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGETTE",
"last_name": "JEANTY LINDOR",
"prefix": "MRS.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mattapan, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.