Active NPI
Joel Solomon, M.D.
- Family Medicine Physician
- Winchester, MA
National Provider Identifier
1417924440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 73703
- Practice address
- 11 Shore Rd
Winchester, MA 01890-2855 - Phone
- (781) 729-1810
- Fax
- (781) 729-2117
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 73703 | MA | Primary |
Addresses
Primary practice location
11 Shore Rd
Winchester, MA 01890-2855
Mailing address
11 Shore Rd
Winchester, MA 01890-2855
Phone (781) 729-1810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078396 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Physician Associates | Past | Accepting new patients |
Organizations & group practices 1
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
- North Reading, MA
- NPI 1215919931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1417924440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SHORE RD",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018902855",
"telephone_number": "781-729-1810",
"fax_number": "781-729-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SHORE RD",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018902855",
"telephone_number": "781-729-1810",
"fax_number": "781-729-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "JOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "73703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078396",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.