Active NPI
Arkady S Fishman, MEDICAL DOCTOR
- Internal Medicine Physician
- Brookline, MA
National Provider Identifier
1497872709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 50408
- Practice address
- 1180 Beacon Street
Room 6a
Brookline, MA 02135 - Phone
- (617) 731-6110
- Fax
- (617) 731-8466
- NPI assigned
- Mar 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 50408 | MA | Primary |
Addresses
Primary practice location
1180 Beacon Street
Room 6a
Brookline, MA 02135
Mailing address
300 Allston Street
#307
Brighton, MA 02135
Phone (617) 731-6110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3003833 | 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 |
|---|---|---|---|
| 50408 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boris Balson, PC | Past | Accepting new patients | |
| Measured Wellness LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Boston, MA
- NPI 1588273320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497872709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ALLSTON STREET",
"address_2": "#307",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-731-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 BEACON STREET",
"address_2": "ROOM 6A",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-731-6110",
"fax_number": "617-731-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "ARKADY",
"middle_name": "S",
"credential": "MEDICAL DOCTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "50408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3003833",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.