Iora Health, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IORA HEALTH, INC

Practice address

912 River St
201
Hyde Park, MA 02136-3715

Phone

(617) 649-2255

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Marc-David Munk, MD

Title

Chief Medical Officer

Phone

(617) 454-4672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1639553860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TREMONT ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021085004",
            "telephone_number": "617-454-4672",
            "fax_number": "617-701-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 RIVER ST",
            "address_2": "201",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363715",
            "telephone_number": "617-649-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IORA HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "MUNK",
        "authorized_official_first_name": "MARC-DAVID",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "617-454-4672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Farrah Jean
• Janique Jean
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• Internal Medicine Physician in Hyde Park, MA
• Providers in Hyde Park, 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 Dec 9, 2016; 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.