JM Kilp Weight Loss Watertown Inc

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

JM KILP WEIGHT LOSS WATERTOWN INC

Practice address

40 Spring St
Watertown, MA 02472-3474

Phone

(617) 923-6334

Fax

(617) 923-6338

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanne M Kilp, MD

Title

President

Phone

(617) 240-9472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1457752362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 POND ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRING ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723474",
            "telephone_number": "617-923-6334",
            "fax_number": "617-923-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM KILP WEIGHT LOSS WATERTOWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "KILP",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-240-9472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Schneider, Licsw, LLC
• Raymond O Jette, LIC. AC.
• Samantha Jewers
• Mahlet Jimma
• Nicolia Lynn Jiraff, RN
• Joanne Caruso
• Kjersten Johnsen, APN
• Jeana Rose Johnson, LMHC
• Katherine Johnson, BCBA
• Steven Arthur Johnson, OTR/L

• Obesity Medicine (Family Medicine) Physician in Watertown, MA
• Providers in Watertown, MA by specialty
• Obesity Medicine (Family Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.