Active NPI
George Rosenthal, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Boston, MA
National Provider Identifier
1659350288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 29925
- Practice address
- 850 Harrison Ave
Yacc, 3Rd Floor
Boston, MA 02118-4001 - Phone
- (617) 638-6100
- Fax
- (617) 638-6179
- NPI assigned
- Jan 12, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 29925 | MA | Primary |
Addresses
Primary practice location
850 Harrison Ave
Yacc, 3Rd Floor
Boston, MA 02118-4001
Mailing address
850 Harrison Ave
Yacc BN-C7
Boston, MA 02118-4001
Phone (617) 414-5405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0174688 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29925 | MA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Medical Foundation, Inc. | Geriatric Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
Geriatric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1659350288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARRISON AVE",
"address_2": "YACC BN-C7",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184001",
"telephone_number": "617-414-5405",
"fax_number": "617-414-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE",
"address_2": "YACC, 3RD FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184001",
"telephone_number": "617-638-6100",
"fax_number": "617-638-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "29925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0174688",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.