Active NPI
Maryann Deak, M.D.
- Neurology Physician
- Jamaica Plain, MA
National Provider Identifier
1548311665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 237475
- 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
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 |
|---|---|---|---|---|
| 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.