NPIMap

Individual provider Active NPI

Jack Clement Naggar, M.D.

  • Internal Medicine Physician
  • Newton, MA
National Provider Identifier
1184915803
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
262268 Issued in MA
Practice address
272 Centre St
Newton, MA 02458-1618
Phone
(617) 796-7170
Fax
(617) 796-7171
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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 270115 NY
Internal Medicine Physician 207R00000X 262268 MA Primary

Addresses

Primary practice location

272 Centre St
Newton, MA 02458-1618

Mailing address

1 Brookline PL Ste 225
Brookline, MA 02445-7294
Phone (857) 307-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820010311 MA Practitioner - Internal Medicine 6709191703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

Practice addresses (Care Compare)

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

272 Centre St
Newton, MA 02458-1618
Phone (617) 796-7100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
262268MAMDInternal Medicine Physician
270115NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women'S Hospital Current Accepting new patients
Emerson Practice Associates, Inc. Internal Medicine CurrentSince Sep 24, 2024 Accepting new patients
Brigham & Womens Physicians Organization Inc Internal Medicine CurrentSince Jul 13, 2022 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1 Brookline Pl
Ste 225
Brookline, MA 02445
Phone (617) 525-6550

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

272 Centre St
Newton, MA 02458
Phone (617) 796-7100

Interoperability endpoints

  • Direct secure messaging: naggar.jack.bwh@direct.partners.masshiway.net

Organizations & group practices 4

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 8

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1184915803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 225",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457294",
            "telephone_number": "857-307-4400",
            "fax_number": "857-307-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581618",
            "telephone_number": "617-796-7170",
            "fax_number": "617-796-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGGAR",
        "first_name": "JACK",
        "middle_name": "CLEMENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "270115",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "262268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.