Individual provider Active NPI

Janet Louise Jankowiak, M.D.

  • Neurology Physician
  • Roxbury, MA
National Provider Identifier
1245449412
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
70710 Issued in MA
Practice address
59 Townsend St
Roxbury, MA 02119-1318
Phone
(617) 989-8238
Fax
(617) 989-8230
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 70710 MA Primary

Addresses

Primary practice location

59 Townsend St
Roxbury, MA 02119-1318

Mailing address

5 Larkspur Rd
Needham, MA 02492-3235
Phone (617) 989-8238

Other identifiers 1

IdentifierTypeStateIssuer
3089207MedicaidMA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70710MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Neurology Associates, Inc. Neurology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245449412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LARKSPUR RD",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024923235",
            "telephone_number": "617-989-8238",
            "fax_number": "617-989-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 TOWNSEND ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191318",
            "telephone_number": "617-989-8238",
            "fax_number": "617-989-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWIAK",
        "first_name": "JANET",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "70710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089207",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, 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.

Verify at the official NPI Registry.