Active NPI
Jean R Phalen, M.D.
- Internal Medicine Physician
- Needham, MA
National Provider Identifier
1376510271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57337
- Practice address
- 1450 Highland Ave
Needham, MA 02492-2690 - Phone
- (781) 449-0020
- Fax
- (781) 449-3181
- NPI assigned
- Mar 1, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57337 | MA | Primary |
Addresses
Primary practice location
1450 Highland Ave
Needham, MA 02492-2690
Mailing address
1450 Highland Ave
Needham, MA 02492-2690
Phone (781) 449-0020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693126 | Other | MA | HARVARD PILGRIM ID |
| 3024512 | Medicaid | MA | |
| J06766 | Other | MA | BLUE CROSS ID |
| 057337 | Other | MA | TUFTS HEALTH PLAN ID |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce Tofias | Internal Medicine | Past | Accepting new patients |
| Newton Wellesley Ambulatory Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Newton, MA
- NPI 1770641425
-
- Durable Medical Equipment & Medical Supplies
- Wellesley, MA
- NPI 1740905876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1376510271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 HIGHLAND AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922690",
"telephone_number": "781-449-0020",
"fax_number": "781-449-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 HIGHLAND AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922690",
"telephone_number": "781-449-0020",
"fax_number": "781-449-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHALEN",
"first_name": "JEAN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "57337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM ID",
"identifier": "693126",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3024512",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "J06766",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN ID",
"identifier": "057337",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.