Active NPI
James Kenneth Vernon, M.D.
- Surgery Physician
- Newton, MA
National Provider Identifier
1518963610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 29133
- Practice address
- 2000 Washington Street
Suite 365
Newton, MA 02462-1627 - Phone
- (617) 244-5355
- Fax
- (617) 244-8662
- NPI assigned
- Jun 23, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 29133 | MA | Primary |
Addresses
Primary practice location
2000 Washington Street
Suite 365
Newton, MA 02462-1627
Mailing address
2000 Washington St
Suite 365
Newton, MA 02462-1627
Phone (617) 244-5355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084228 | 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 |
|---|---|---|---|
| 29133 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276214400000",
"number": "1518963610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "SUITE 365",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621627",
"telephone_number": "617-244-5355",
"fax_number": "617-244-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WASHINGTON STREET",
"address_2": "SUITE 365",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621627",
"telephone_number": "617-244-5355",
"fax_number": "617-244-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "JAMES",
"middle_name": "KENNETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2010-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "29133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2084228",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.