Active NPI
Jay S Himmelstein, M.D.
- Internal Medicine Physician
- Shrewsbury, MA
National Provider Identifier
1629279922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 72323
- Practice address
- 333 South St
Shrewsbury, MA 01545-7807 - Phone
- (508) 856-5763
- NPI assigned
- May 31, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 72323 | MA | Primary |
Addresses
Primary practice location
333 South St
Shrewsbury, MA 01545-7807
Mailing address
Univ of Mass Med. School
Shrewsbury, MA 01545
Phone (508) 856-8426
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72323 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1629279922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIV OF MASS MED. SCHOOL",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "01545",
"telephone_number": "508-856-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SOUTH ST",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015457807",
"telephone_number": "508-856-5763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMMELSTEIN",
"first_name": "JAY",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "72323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.