Active NPI
Michael Jay Price, M.D.
- Ophthalmology Physician
- Malden, MA
National Provider Identifier
1467544858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 53026
- Practice address
- 578 Main St
Malden, MA 02148-3900 - Phone
- (781) 321-6544
- Fax
- (781) 321-6172
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 53026 | MA | Primary |
Addresses
Primary practice location
578 Main St
Malden, MA 02148-3900
Mailing address
578 Main St
Malden, MA 02148-3900
Phone (781) 321-6544
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J03282 | Other | MA | MEDICARE |
| 0004093 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 708937 | Other | MA | TUFTS HEALTH PLAN |
| 9755764 | Medicaid | MA | |
| 15498 | Other | MA | HARVARD PILGRIM HEALTH CARE |
| 000000021744 | Other | MA | BMC HEALTHNET |
| 31042 | Other | MA | FALLON COMMUNITY HEALTH PLAN |
| 6177468 | Medicaid | MA | |
| 991934 | Other | MA | NETWORK HEALTH |
| J03282 | Other | MA | BLUE SHIELD |
| 3017518 | Other | CIGNA HEALTHCARE | |
| 180005630 | Other | RAILROAD MEDICARE | |
| 8441 | Other | MA | AETNA U.S. HEALTHCARE |
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
Interoperability endpoints
- mprice28870@tuftsmedicine.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1467544858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 MAIN ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021483900",
"telephone_number": "781-321-6544",
"fax_number": "781-321-6172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 MAIN ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021483900",
"telephone_number": "781-321-6544",
"fax_number": "781-321-6172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "MICHAEL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "53026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "J03282",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0004093",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "708937",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9755764",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "15498",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000021744",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH PLAN",
"identifier": "31042",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6177468",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "991934",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J03282",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "3017518",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180005630",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA U.S. HEALTHCARE",
"identifier": "8441",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.