NPIMap

Organization Active NPI

Jason Grunes PLLC

  • Internal Medicine Physician
  • Woburn, MA
National Provider Identifier
1285083972
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JASON GRUNES PLLC
Practice address
2 Rehabilitation Way
Woburn, MA 01801-6003
Phone
(791) 935-5050
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Jason Grunes, M DNPI 1619131539
Title
Physician
Phone
(781) 933-3734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2 Rehabilitation Way
Woburn, MA 01801-6003

Mailing address

2 Rehabilitation Way
Woburn, MA 01801-6003
Phone (791) 935-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160808002463 MA Part B Supplier - Clinic/Group Practice 8325332729 Receives reassigned benefits from 5 practitioners
Practice locations: Woburn, MA

National Provider Directory

National Provider Directory

Locations

110 Winn St
Ste 104
Woburn, MA 01801

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1285083972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 REHABILITATION WAY",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016003",
            "telephone_number": "791-935-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 REHABILITATION WAY",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016003",
            "telephone_number": "791-935-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON GRUNES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "GRUNES",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-933-3734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.