Jacqueline Faye Croopnick, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

216090 Issued in MA

Legal business name

JACQUELINE FAYE CROOPNICK, LLC

Practice address

1 Brookline PL
Suite 423
Brookline, MA 02445-7224

Phone

(617) 566-1535

NPI assigned

Jan 24, 2013

Last updated

Jan 24, 2013By 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

Jacqueline Croopnick, MDNPI 1881787919

Title

Owner

Phone

(617) 566-1535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Faye Croopnick, M.D.

  • Obstetrics & Gynecology Physician
  • Brookline, MA
  • NPI 1881787919
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1346588456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL",
            "address_2": "SUITE 423",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL",
            "address_2": "SUITE 423",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457224",
            "telephone_number": "617-566-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE FAYE CROOPNICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "CROOPNICK",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-566-1535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "216090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary C Jacobs, LICSW
• Richard L Jacobs, PSY D
• Sydney Jacobs, PHD
• Adina Jacobson
• Thomas Jacobson, LMT
• Jacqueline Stephen MD LLC
• Bridget Jaklitsch, NP
• Amnah Jambi
• James Harburger MD
• James Smith & Lisa Sutton, Inc.

• Obstetrics & Gynecology Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.