Innovare Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INNOVARE MEDICAL, PC

Practice address

1180 Beacon St Ste 4a
Brookline, MA 02446-3806

Phone

(508) 654-8496

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ping Jin, MDNPI 1023222577

Title

Secretary

Phone

(774) 641-7020

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Ping Jin, M.D.

  • Anesthesiology Physician
  • Boston, MA
  • NPI 1023222577
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1184455438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 RICE RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017782808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE 4A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463806",
            "telephone_number": "508-654-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVARE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "PING",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "774-641-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Amy Imber, MSW, LICSW
• Adi Inbar, LICSW
• Emily Inglesi, PSY.D.
• Inner Oasis Counseling, PLLC
• Innherself Pelvic Health LLC
• Brie A Insalaco, PH.D.
• Insight Brookline Psychotherapy
• Integrated Dermatology of Brookline, LLC
• Iveta Iontcheva-Barehmi, DMD, MS, DSC,
• Ipekci Psychotherapy Services LLC

• Internal Medicine Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.