Active NPI
Daniel G Remick, M.D.
- Anatomic Pathology Physician
- Boston, MA
National Provider Identifier
1487736468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 230385
- Practice address
- 670 Albany Street
Floor 3, Room 310
Boston, MA 02118-2646 - Phone
- (617) 414-5314
- Fax
- (617) 414-5315
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Immunopathology Physician | 207ZI0100X | 4301046219 | MI | |
| Anatomic Pathology Physician | 207ZP0101X | 4301046219 | MI | |
| Anatomic Pathology Physician | 207ZP0101X | 230385 | MA | Primary |
Addresses
Primary practice location
670 Albany Street
Floor 3, Room 310
Boston, MA 02118-2646
Mailing address
720 Harrison Ave
Dob 503
Boston, MA 02118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4633002 | Medicaid | MI | |
| 2132249 | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230385 | MA | MD | Anatomic Pathology Physician |
| 4301046219 | MI | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Medical Foundation, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1487736468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 ALBANY STREET",
"address_2": "FLOOR 3, ROOM 310",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182646",
"telephone_number": "617-414-5314",
"fax_number": "617-414-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMICK",
"first_name": "DANIEL",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "MI",
"license": "4301046219",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MI",
"license": "4301046219",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "230385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4633002",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2132249",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.