NPIMap

Organization Active NPI

Ackil Medical Associates, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Roslindale, MA
National Provider Identifier
1669695839
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
30313 Issued in MA
Legal business name
ACKIL MEDICAL ASSOCIATES, INC
Practice address
1 Corinth St
Roslindale, MA 02131-3087
Phone
(617) 327-3450
Fax
(617) 327-0573
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Joseph A Ackil, D.O.
Title
President
Phone
(617) 327-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X 30313 MA Primary

Addresses

Primary practice location

1 Corinth St
Roslindale, MA 02131-3087

Mailing address

1 Corinth St
Roslindale, MA 02131-3087
Phone (617) 327-3450

Other identifiers 1

IdentifierTypeStateIssuer
9700579MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1669695839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORINTH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313087",
            "telephone_number": "617-327-3450",
            "fax_number": "617-327-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CORINTH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313087",
            "telephone_number": "617-327-3450",
            "fax_number": "617-327-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKIL MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "ACKIL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-327-3450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "30313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700579",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.