Active NPI
Jerome Ritz, MD
- Hematology (Internal Medicine) Physician
- Boston, MA
National Provider Identifier
1407824659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- 39404
- Practice address
- 450 Brookline Ave
M530, Dana-Farber Cancer Institute
Boston, MA 02215-5418 - Phone
- (617) 632-3465
- Fax
- (617) 632-5167
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 39404 | MA | Primary |
Addresses
Primary practice location
450 Brookline Ave
M530, Dana-Farber Cancer Institute
Boston, MA 02215-5418
Mailing address
450 Brookline Ave
M530, Dana-Farber Cancer Institute
Boston, MA 02215-5418
Phone (617) 632-3465
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6189024 | Other | MASSHEALTH MEDICAID MA | |
| 5574325 | Other | CIGNA | |
| 729824 | Other | TUFTS | |
| B87143DF | Other | HPHC DFCI ONLY | |
| 2067386 | Other | AETNA US HEALTHCARE | |
| 3004482 | Other | UNITED HEALTH CARE | |
| 50326 | Other | FALLON COMMUNITY HEALTH |
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
Interoperability endpoints
- ritz.jerome.dfci@direct.partners.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1407824659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"address_2": "M530, DANA-FARBER CANCER INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-3465",
"fax_number": "617-632-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROOKLINE AVE",
"address_2": "M530, DANA-FARBER CANCER INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155418",
"telephone_number": "617-632-3465",
"fax_number": "617-632-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITZ",
"first_name": "JEROME",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MA",
"license": "39404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH MEDICAID MA",
"identifier": "6189024",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5574325",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "729824",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC DFCI ONLY",
"identifier": "B87143DF",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2067386",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "3004482",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "50326",
"state": null
}
],
"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 Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.