Individual provider Active NPI

Maryann Deak, M.D.

  • Neurology Physician
  • Jamaica Plain, MA
National Provider Identifier
1548311665
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
237475 Issued in MA
Practice address
1153 Centre Street
Brigham & Women'S Faulkner Hospital
Jamaica Plain, MA 02138
Phone
(617) 983-7489
Fax
(617) 983-2488
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 237475 MA Primary

Addresses

Primary practice location

1153 Centre Street
Brigham & Women'S Faulkner Hospital
Jamaica Plain, MA 02138

Mailing address

1153 Centre Street BWH Faulkner Hospital
Brigham & Women'S Sleep Disorders Service
Jamaica Plain, MA 02130
Phone (617) 983-7489

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1548311665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE STREET BWH FAULKNER HOSPITAL",
            "address_2": "BRIGHAM & WOMEN'S SLEEP DISORDERS SERVICE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-983-7489",
            "fax_number": "617-983-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE STREET",
            "address_2": "BRIGHAM & WOMEN'S FAULKNER HOSPITAL",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02138",
            "telephone_number": "617-983-7489",
            "fax_number": "617-983-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAK",
        "first_name": "MARYANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "237475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.