Wellesley Hyperbarics

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

158637 Issued in MA

Legal business name

WELLESLEY HYPERBARICS

Practice address

978 Worcester St
Suite 2
Wellesley, MA 02482-3709

Phone

(781) 489-5020

Fax

(781) 489-5022

NPI assigned

Jun 9, 2015

Organization subpart

No

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

Authorized official

Name

Ikram Farooqi, MD

Title

President

Phone

(781) 489-5020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1457731044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 WORCESTER ST",
            "address_2": "SUITE 2",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823709",
            "telephone_number": "781-489-5020",
            "fax_number": "781-489-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 WORCESTER ST",
            "address_2": "SUITE 2",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823709",
            "telephone_number": "781-489-5020",
            "fax_number": "781-489-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY HYPERBARICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "FAROOQI",
        "authorized_official_first_name": "IKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-489-5020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "158637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wellesley Hills Eye Care
• Wellesley Hills PCMH
• Wellesley Medical Associates
• Wellesley Neuropsychology and Assessment PLLC
• Wellesley Oral Surgery and Implant Center, PLLC
• Wellesley Pediatric Occupational Therapy
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• Internal Medicine Physician in Wellesley, MA
• Providers in Wellesley, 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 Sep 21, 2016; 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.