Organization Active NPI

Jeanine Grier Reczek MD PC

  • Neurology Physician
  • Sudbury, MA
National Provider Identifier
1669619888
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
230291 Issued in MA
Legal business name
JEANINE GRIER RECZEK MD PC
Practice address
11 Barnet Rd
Sudbury, MA 01776-1001
Phone
(617) 777-9655
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Jeanine Reczek, MD
Title
Owner
Phone
(617) 777-9655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 230291 MA Primary

Addresses

Primary practice location

11 Barnet Rd
Sudbury, MA 01776-1001

Mailing address

11 Barnet Rd
Sudbury, MA 01776-1001
Phone (617) 777-9655

National Provider Directory

National Provider Directory

Locations

54 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 369-0030

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1669619888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BARNET RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761001",
            "telephone_number": "617-777-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BARNET RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761001",
            "telephone_number": "617-777-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANINE GRIER RECZEK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "RECZEK",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-777-9655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "230291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.