Individual provider Active NPI

Jun Zhang

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1184908675
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN271284 Issued in MA
Practice address
885 Washington St
Boston, MA 02111-1415
Phone
(617) 482-7555
NPI assigned
Oct 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN271284 MA Primary

Addresses

Primary practice location

885 Washington St
Boston, MA 02111-1415

Mailing address

75 Greenwood Rd
Andover, MA 01810-3311
Phone (781) 526-1185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000099 MA Practitioner - Nurse Practitioner 6709047848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

145 S St
Boston, MA 02111-2826
Phone (617) 521-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN271284MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Cove Community Health Center, Inc. CurrentSince Jan 24, 2012 Accepting new patients
South Cove Community Health Center, Inc. CurrentSince Jan 24, 2012 Accepting new patients

Locations

145 South St
Boston, MA 02111
Phone (617) 521-6700

885 Washington St
Boston, MA 02111
Phone (617) 482-7555

88 Holmes St
Quincy, MA 02171
Phone (617) 318-3200

Interoperability endpoints

  • Direct secure messaging: jun.zhang@scchc.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1184908675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GREENWOOD RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103311",
            "telephone_number": "781-526-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111415",
            "telephone_number": "617-482-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN271284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.