Active NPI
London Medical Group, LLC
- Internal Medicine Physician
- Chestnut Hill, MA
National Provider Identifier
1518202852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27436
- 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, 2012
- 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. Abram London
- Title
- MD
- Phone
- (617) 277-8770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- 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.