Philip S Ellerin MD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHILIP S ELLERIN MD

Practice address

172 Cambridge St
Burlington, MA 01803-2921

Phone

(781) 272-7022

Fax

(781) 272-8786

NPI assigned

Sep 4, 2013

Last updated

Sep 4, 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

Philip S EllerinNPI 1619067816

Title

Owner

Phone

(781) 272-7022

Specialties & licenses 1

Addresses

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.

• Philip S Ellerin, MD

  • Dermatology Physician
  • Burlington, MA
  • NPI 1619067816
  NPD (past) Authorized official

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1346675790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CAMBRIDGE ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032921",
            "telephone_number": "781-272-7022",
            "fax_number": "781-272-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 CAMBRIDGE ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032921",
            "telephone_number": "781-272-7022",
            "fax_number": "781-272-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP S ELLERIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "ELLERIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-272-7022"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Pezza, FNP
• Bernard A. Pfeifer, MD
• Neelam Ameya Phadke, M.D.
• Laura T. L. Pham, MD
• Ashley Hong Phan, PA
• Philip S. Ellerin, MD,PC
• Lynn Phillips, PHARMD
• Louis W Piacentini, PHARMD
• Maria Helena Piana
• Ann Marie Pianka, NP

• Durable Medical Equipment & Medical Supplies in Burlington, MA
• Providers in Burlington, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.