Active NPI
Judy S Fine, M.D.
- Neurology Physician
- Lexington, MA
National Provider Identifier
1447393913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 73383
- Practice address
- 27 Saddle Club Rd
Lexington, MA 02420-2121 - Phone
- (781) 860-9009
- NPI assigned
- Feb 15, 2007
- Last updated
- Nov 5, 2012
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 73383 | MA | Primary |
Addresses
Primary practice location
27 Saddle Club Rd
Lexington, MA 02420-2121
Mailing address
27 Saddle Club Rd
Lexington, MA 02420-2121
Phone (781) 860-9009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3109267 | Medicaid | MA |
Other names 1
- Judy S. Fine-Edelstein
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 |
|---|---|---|---|
| 73383 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1447393913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SADDLE CLUB RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024202121",
"telephone_number": "781-860-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 SADDLE CLUB RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024202121",
"telephone_number": "781-860-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JUDY",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "73383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3109267",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "FINE-EDELSTEIN",
"middle_name": "S.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.