Organization Active NPI

Iora Health, Inc

  • Internal Medicine Physician
  • Medford, MA
National Provider Identifier
1487024832
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IORA HEALTH, INC
Practice address
287 Middlesex Ave
Medford, MA 02155-5056
Phone
(781) 222-3033
Fax
(781) 281-9927
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Dr. Marc-David Munk, MD
Title
Chief Medical Officer
Phone
(617) 454-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

287 Middlesex Ave
Medford, MA 02155-5056

Mailing address

101 Tremont St FL 6
Boston, MA 02108-5004
Phone (617) 454-4672

National Provider Directory

National Provider Directory

Locations

287 Middlesex Ave
Medford, MA 02155
Phone (617) 286-5780

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1487024832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TREMONT ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021085004",
            "telephone_number": "617-454-4672",
            "fax_number": "617-701-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MIDDLESEX AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555056",
            "telephone_number": "781-222-3033",
            "fax_number": "781-281-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IORA HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "MUNK",
        "authorized_official_first_name": "MARC-DAVID",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "617-454-4672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.