Individual provider Active NPI

Paula G Fraenkel, M.D.

  • Hematology & Oncology Physician
  • Boston, MA
National Provider Identifier
1326101288
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
205647 Issued in MA
Practice address
330 Longwood Ave
Beth Israel Deaconess Medical Center, Shapiro 9
Boston, MA 02115-5746
Phone
(617) 632-9251
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 205647 MA Primary

Addresses

Primary practice location

330 Longwood Ave
Beth Israel Deaconess Medical Center, Shapiro 9
Boston, MA 02115-5746

Mailing address

330 Longwood Ave
Beth Israel Deaconess Medical Center, Sld423B
Boston, MA 02115-5746
Phone (617) 632-9251

Other identifiers 1

IdentifierTypeStateIssuer
2000784MedicaidMA

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1326101288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LONGWOOD AVE",
            "address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER, SLD423B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155746",
            "telephone_number": "617-632-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LONGWOOD AVE",
            "address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER, SHAPIRO 9",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155746",
            "telephone_number": "617-632-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAENKEL",
        "first_name": "PAULA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "205647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000784",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.