Active NPI
Jerome Lawrence Slate, MD
- Pulmonary Disease Physician
- Cambridge, MA
National Provider Identifier
1518976570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 38197
- Practice address
- 300 Mount Auburn St
Suite 514
Cambridge, MA 02138-5665 - Phone
- (617) 497-0335
- Fax
- (617) 492-7480
- NPI assigned
- Aug 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 38197 | MA | Primary |
Addresses
Primary practice location
300 Mount Auburn St
Suite 514
Cambridge, MA 02138-5665
Mailing address
300 Mount Auburn St
Suite 514
Cambridge, MA 02138-5665
Phone (617) 497-0335
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2043467 | Medicaid | MA | |
| 26154 | Other | FALLON | |
| 60226 | Other | HARVARD PILGRIM | |
| 0012351 | Other | NEIGHBORHOOD HEALTH PLAN | |
| B33479 | Other | BLUE SHIELD | |
| 710593 | Other | TUFTS |
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 |
|---|---|---|---|
| 38197 | MA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hebrew Rehabilitation Center | 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.
-
dba Hebrew Rehab Center
- Long Term Care Hospital
- Boston, MA
- NPI 1437155967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518976570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "SUITE 514",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385665",
"telephone_number": "617-497-0335",
"fax_number": "617-492-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "SUITE 514",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385665",
"telephone_number": "617-497-0335",
"fax_number": "617-492-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATE",
"first_name": "JEROME",
"middle_name": "LAWRENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "38197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2043467",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "26154",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "60226",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0012351",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "B33479",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "710593",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, 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.