Jennifer Lee Bogdanovitch, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

241947 Issued in MA

Practice address

266 Main St
Unit 4
Medfield, MA 02052-2043

Phone

(508) 359-8141

Fax

(508) 359-8005

NPI assigned

Jul 20, 2009

Last updated

Feb 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lee Sebastianelli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark H. Abensohn, M.D., L.L.C.

  • Internal Medicine Physician
  • Medfield, MA
  • NPI 1326137704
  NPD (past)
• Medfield Internal Medicine, PLLC

  • Internal Medicine Physician
  • Medfield, MA
  • NPI 1174364723
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1427288901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020520469",
            "telephone_number": "508-359-8141",
            "fax_number": "508-359-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MAIN ST",
            "address_2": "UNIT 4",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522043",
            "telephone_number": "508-359-8141",
            "fax_number": "508-359-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOVITCH",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "241947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SEBASTIANELLI",
            "middle_name": "LEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Ann Bernier, MSN, APRN-BC, FNP
• Maddyson Bernstein, OTR/L
• Wendy Renee Billings-Litke, LMHC
• Blair Patton Bisher, NCC, CSAT-C, MHA
• Damon Blank, LMFT, CGP
• Rosa Boniface, MA
• Jessica Bourque, PT
• Carolyn M. Bradley, M.S., CCC-SP
• Ellen Brezner, M.S., CCC-SLP
• Shanna Brierley, M.S., CCC-SLP

• Internal Medicine Physician in Medfield, MA
• Providers in Medfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.