Jennie D Krasker MD LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JENNIE D KRASKER MD LLC

Practice address

1180 Beacon St Ste a
Brookline, MA 02446-3870

Phone

(617) 232-8888

NPI assigned

May 24, 2023

Last updated

Oct 12, 2023By 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

Jennie KraskerNPI 1790135556

Title

Owner

Phone

(617) 683-1183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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.

• Jennie Krasker, M.D.

  • Obstetrics & Gynecology Physician
  • Brookline, MA
  • NPI 1790135556
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1639861826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHAPEL ST APT C307",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024467429",
            "telephone_number": "617-683-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463870",
            "telephone_number": "617-232-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE D KRASKER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "KRASKER",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-683-1183"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Jasnoff, M.S., CCC-SLP
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• JD Henneberry MD LLC
• Yvonne Marie Jenkins, PH.D.
• Jenna Kauffman PSYD LLC
• Jennifer Harris, MD, PLLC
• Jamie Jensen
• Jerome Federschneider M.D.
• Jessica K. Hsieh, D.D.S., LLC
• Carmen C. Brenes Jette, PHD

• Obstetrics & Gynecology Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.