Individual provider Active NPI

Sunit Jolly, DC

  • Chiropractor
  • Quincy, MA
National Provider Identifier
1366461519
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2827 Issued in MA
Practice address
111 Willard St
Suite Ga
Quincy, MA 02169-1200
Phone
(617) 471-4491
Fax
(617) 984-0636
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2827 MA Primary
Chiropractor 111N00000X 5600 CO

Addresses

Primary practice location

111 Willard St
Suite Ga
Quincy, MA 02169-1200

Mailing address

41 Keenan St
Watertown, MA 02472-2904
Phone (720) 984-7075

Other identifiers 2

IdentifierTypeStateIssuer
AA48946OtherMAHARVARD PILGRIM HEALTH
Y36967OtherMABCBSMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000185 MA Practitioner - Chiropractic 3173418811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Kendall Square Therapeutic Health Center PCGroup PAC ID 7113084344, 4 clinicians

Practice addresses (Care Compare)

122 Mount Auburn St
Cambridge, MA 02138-5715
Phone (617) 441-0101

400 Washington St
Suite 102
Braintree, MA 02184-4764
Phone (781) 848-8734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5600COMDChiropractor
2827MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
M5 Health, LLC Chiropractor CurrentSince Sep 1, 2025 Accepting new patients
Kendall Square Therapeutic Health Center, P.C. Chiropractor CurrentSince Apr 17, 2024 Accepting new patients
Albert R. Kalter, D.C. Chiropractor PastSince Sep 1, 2025 Accepting new patients
Moody Street Total Health, Inc. Chiropractor PastSince Jul 16, 2016 Accepting new patients

Locations

400 Washington St
Ste 102
Braintree, MA 02184
Phone (781) 848-8734

122 Mount Auburn St
Cambridge, MA 02138
Phone (617) 441-0101

Organizations & group practices 4

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366461519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KEENAN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722904",
            "telephone_number": "720-984-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST",
            "address_2": "SUITE GA",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691200",
            "telephone_number": "617-471-4491",
            "fax_number": "617-984-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "SUNIT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2827",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "AA48946",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "Y36967",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.