NPIMap

Organization Active NPI

Harbormed LLC

  • General Practice Physician
  • Quincy, MA
National Provider Identifier
1629497417
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
33623 Issued in MA
Legal business name
HARBORMED LLC
Practice address
21 School St
Suite 1
Quincy, MA 02169-6640
Phone
(617) 332-4780
NPI assigned
Apr 9, 2014
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Dr. Israel Mayer Stein, MD
Title
Managing Director
Phone
(617) 332-4780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 33623 MA Primary

Addresses

Primary practice location

21 School St
Suite 1
Quincy, MA 02169-6640

Mailing address

17 Edge Hill Rd
Chestnut Hill, MA 02467-1170
Phone (617) 332-4780

National Provider Directory

National Provider Directory

Locations

59 Coddington St
Ste 103
Quincy, MA 02169
Phone (617) 328-5700

800 W Cummings Park
Ste 1775
Woburn, MA 01801
Phone (617) 332-4780

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1629497417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EDGE HILL RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671170",
            "telephone_number": "617-332-4780",
            "fax_number": "815-846-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SCHOOL ST",
            "address_2": "SUITE 1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696640",
            "telephone_number": "617-332-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "MAYER",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "617-332-4780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "33623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.