Individual provider Active NPI

Eshel Aryeh Nir, MD, MSC, DESA

  • Pediatric Anesthesiology Physician
  • Boston, MA
National Provider Identifier
1578134698
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
288115 Issued in MA
Practice address
300 Longwood Ave # 366.1
Boston, MA 02115-5724
Phone
(617) 355-5888
NPI assigned
Jul 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X 288115 MA Primary

Addresses

Primary practice location

300 Longwood Ave # 366.1
Boston, MA 02115-5724

Mailing address

61 Tchernichovski Street
Apt. #08
Jerusalem, JERUSALEM 9258739
IL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
288115MAMDPediatric Anesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1578134698",
    "addresses": [
        {
            "country_code": "IL",
            "country_name": "Israel",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "61 TCHERNICHOVSKI STREET",
            "address_2": "APT. #08",
            "city": "JERUSALEM",
            "state": "JERUSALEM",
            "postal_code": "9258739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE # 366.1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIR",
        "first_name": "ESHEL",
        "middle_name": "ARYEH",
        "name_prefix": "Dr.",
        "credential": "MD, MSC, DESA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "MA",
            "license": "288115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.