Active NPI
Jeanine T. Freliech, M.D.
- Pediatrics Physician
- Boston, MA
National Provider Identifier
1578619086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 79511
- Practice address
- 10 Gove St
Boston, MA 02128-1931 - Phone
- (617) 569-5800
- NPI assigned
- Jan 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036062 | CT | |
| Pediatrics Physician | 208000000X | 79511 | MA | Primary |
Addresses
Primary practice location
10 Gove St
Boston, MA 02128-1931
Mailing address
10 Gove St
Boston, MA 02128-1931
Phone (617) 569-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036062 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Ebnhc | Current | Accepting new patients | |
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Neighborhealth Corporation | Current | Accepting new patients |
Locations
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
Interoperability endpoints
- jfreliech32455@direct.neighborhealth.masshiway.net
Organizations & group practices 3
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.
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1255451597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1578619086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GOVE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021281931",
"telephone_number": "617-569-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GOVE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021281931",
"telephone_number": "617-569-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRELIECH",
"first_name": "JEANINE",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "036062",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "79511",
"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 Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.