London Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LONDON MEDICAL GROUP, LLC

Practice address

17 Oak St
Needham, MA 02492-2470

Phone

(781) 559-0540

NPI assigned

Sep 24, 2008

Last updated

Aug 31, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane London, MDNPI 1629017710

Title

President

Phone

(617) 277-8770

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• London Medical Group, LLC

  • Internal Medicine Physician
  • Chestnut Hill, MA
  • NPI 1518202852

  O20081125000260

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane M London, M.D.

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1629017710
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1609026871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020300187",
            "telephone_number": "508-785-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OAK ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922470",
            "telephone_number": "781-559-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDON MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-277-8770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9742191",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "1609026871",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M19587",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Little Language Company LLC
• Hsinyi Liu
• Live Well Occupational Therapy, PLLC
• Jessica Doeppner Llewellyn
• Michael Justin Lohwater, LICSW
• Diane M London, M.D.
• Lilian Beatriz Lopes de Andrade, BA
• Marie Lord, NP
• Joan M. Loucraft
• Kay A Lowe, BSC

• Internal Medicine Physician in Needham, MA
• Providers in Needham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.