Individual provider Active NPI

Jeff Mark Milunsky, M.D.

  • Clinical Genetics (M.D.) Physician
  • Cambridge, MA
National Provider Identifier
1316916372
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
80918 Issued in MA
Practice address
840 Memorial Dr
Suite 101
Cambridge, MA 02139-3789
Phone
(617) 492-7083
Fax
(617) 492-7092
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 80918 MA Primary

Addresses

Primary practice location

840 Memorial Dr
Suite 101
Cambridge, MA 02139-3789

Mailing address

840 Memorial Dr
Suite 101
Cambridge, MA 02139-3789
Phone (617) 492-7083

Other identifiers 1

IdentifierTypeStateIssuer
3146502MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060403000586 MA Practitioner - Pediatric Medicine 3779591789 Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Boston University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

840 Memorial Dr
Suite 101
Cambridge, MA 02139-3771
Phone (617) 492-7083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Genetics, Inc Past Accepting new patients
Child Health Foundation of Boston, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1316916372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MEMORIAL DR",
            "address_2": "SUITE 101",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393789",
            "telephone_number": "617-492-7083",
            "fax_number": "617-492-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MEMORIAL DR",
            "address_2": "SUITE 101",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393789",
            "telephone_number": "617-492-7083",
            "fax_number": "617-492-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILUNSKY",
        "first_name": "JEFF",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MA",
            "license": "80918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3146502",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.