Organization Active NPI

Ims Ventures LLC

  • General Practice Physician
  • Chestnut Hill, MA
National Provider Identifier
1184055253
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
33623 Issued in MA
Legal business name
IMS VENTURES LLC
Practice address
17 Edge Hill Rd
Chestnut Hill, MA 02467-1170
Phone
(617) 332-4780
NPI assigned
Nov 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Dr. Israel M Stein, MD
Title
Managing Director
Phone
(617) 818-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 33623 MA Primary

Addresses

Primary practice location

17 Edge Hill Rd
Chestnut Hill, MA 02467-1170

Mailing address

17 Edge Hill Rd
Chestnut Hill, MA 02467-1170
Phone (617) 332-4780

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1184055253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EDGE HILL RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671170",
            "telephone_number": "617-332-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EDGE HILL RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671170",
            "telephone_number": "617-332-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMS VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "617-818-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "33623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.