Jorge E Tello MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JORGE E TELLO MD PC

Practice address

21 School St
Ste 1
Quincy, MA 02169-6640

Phone

(617) 302-3343

Fax

(617) 481-4655

NPI assigned

Jul 28, 2014

Last updated

Jul 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge E. Tello, MD

Title

President

Phone

(617) 302-3343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1336557958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SCHOOL ST",
            "address_2": "STE 1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696640",
            "telephone_number": "617-302-3343",
            "fax_number": "617-481-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SCHOOL ST",
            "address_2": "STE 1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696640",
            "telephone_number": "617-302-3343",
            "fax_number": "617-481-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE E TELLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "TELLO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-302-3343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Jones, PT
• Natalie Marie Jones
• Timyra Jones
• Laurence William Jordan, LMHC
• Lucille Jordan, LICSW
• Edwens R Joseph, LPN
• Harry Joseph
• Nanncie Joseph, LPN
• Sasha Joyal I
• Alicia Maria Juaire Cabral, MSPT

• Specialist in Quincy, MA
• Providers in Quincy, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.