Individual provider Active NPI

Jasmine V Vartikar, M.D.

  • General Practice Physician
  • Brookline, MA
National Provider Identifier
1275777617
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
57662 Issued in MA
Practice address
637 Washington St
Suite 103
Brookline, MA 02446-4500
Phone
(617) 277-1614
NPI assigned
Apr 29, 2009
Last updated
Apr 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 57662 MA Primary

Addresses

Primary practice location

637 Washington St
Suite 103
Brookline, MA 02446-4500

Mailing address

94 Babcock St
Brookline, MA 02446-5900
Phone (617) 277-1614

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
57662MAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longwood MRI Specialists Inc Current Accepting new patients
Longwood MRI Specialists Inc. CurrentSince Nov 19, 2003 Accepting new patients
MVP Anesthesia Associates, PC Past Accepting new patients

Locations

637 Washington St
Ste 103
Brookline, MA 02446
Phone (617) 277-1614

Organizations & group practices 3

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1275777617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BABCOCK ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465900",
            "telephone_number": "617-277-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST",
            "address_2": "SUITE 103",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464500",
            "telephone_number": "617-277-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTIKAR",
        "first_name": "JASMINE",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "57662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.