Active NPI
Amy Geng, M.D.
- Dermatology Physician
- Boston, MA
National Provider Identifier
1366530297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 230408
- Practice address
- 50 Staniford St
Suite 802
Boston, MA 02114-2517 - Phone
- (617) 722-4100
- NPI assigned
- Oct 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 230408 | MA | Primary |
Addresses
Primary practice location
50 Staniford St
Suite 802
Boston, MA 02114-2517
Mailing address
121 Revere Street
Unit K
Canton, MA 02021
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": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366530297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 REVERE STREET",
"address_2": "UNIT K",
"city": "CANTON",
"state": "MA",
"postal_code": "02021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STANIFORD ST",
"address_2": "SUITE 802",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142517",
"telephone_number": "617-722-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENG",
"first_name": "AMY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "230408",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.