Individual provider Active NPI

Jay M Ritt, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • North Easton, MA
National Provider Identifier
1275505547
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
License
43760 Issued in MA
Practice address
31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032
Phone
(508) 535-3376
Fax
(508) 535-3377
NPI assigned
Feb 2, 2006
Last updated
Mar 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 43760 MA Primary

Addresses

Primary practice location

31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032

Mailing address

31 Roche Bros Way
Suite 200
North Easton, MA 02356
Phone (508) 535-3376

Other identifiers 1

IdentifierTypeStateIssuer
2071096MedicaidMA

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
43760MAMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc PastSince Mar 3, 2008 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1275505547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY",
            "address_2": "SUITE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "02356",
            "telephone_number": "508-535-3376",
            "fax_number": "508-535-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY",
            "address_2": "SUITE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-535-3376",
            "fax_number": "508-535-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITT",
        "first_name": "JAY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "MA",
            "license": "43760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071096",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.