Active NPI
Lisa Kunins, MD
- Internal Medicine Physician
- Arlington, MA
National Provider Identifier
1407940786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 156503
- Practice address
- 37 Broadway
Arlington, MA 02474-5552 - Phone
- (781) 641-0100
- Fax
- (781) 744-7132
- NPI assigned
- Oct 3, 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 | 156503 | MA | Primary |
Addresses
Primary practice location
37 Broadway
Arlington, MA 02474-5552
Mailing address
37 Broadway
Arlington, MA 02474-5552
Phone (781) 641-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110060140A | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156503 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1407940786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 BROADWAY",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024745552",
"telephone_number": "781-641-0100",
"fax_number": "781-744-7132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BROADWAY",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024745552",
"telephone_number": "781-641-0100",
"fax_number": "781-744-7132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNINS",
"first_name": "LISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "156503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110060140A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.