Organization Active NPI

London Medical Group, LLC

  • Internal Medicine Physician
  • Chestnut Hill, MA
National Provider Identifier
1518202852
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27436 Issued in MA
Legal business name
LONDON MEDICAL GROUP, LLC
Practice address
25 Boylston St
Ste # 315
Chestnut Hill, MA 02467-1715
Phone
(617) 277-8770
NPI assigned
Nov 27, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Abram London
Title
MD
Phone
(617) 277-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27436 MA Primary

Addresses

Primary practice location

25 Boylston St
Ste # 315
Chestnut Hill, MA 02467-1715

Mailing address

25 Boylston St
Ste # 315
Chestnut Hill, MA 02467-1715
Phone (617) 277-8770

Other names 1

  • Dr Abram London's Office Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081125000260 MA Part B Supplier - Clinic/Group Practice 5294895918 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Needham, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

25 Boylston St
Ste 315
Chestnut Hill, MA 02467
Phone (617) 277-8770

300 Chestnut St
Ste 300
Needham, MA 02492
Phone (781) 453-1366

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEJFAA

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1518202852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST",
            "address_2": "STE # 315",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671715",
            "telephone_number": "617-277-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOYLSTON ST",
            "address_2": "STE # 315",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671715",
            "telephone_number": "617-277-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDON MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "617-277-8770",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "27436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Abram London's Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.