Active NPI
Iora Health, Inc
- Internal Medicine Physician
- Medford, MA
National Provider Identifier
1487024832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.