Active NPI
David J Taub, MD
- Dermatology Physician
- Brookline, MA
National Provider Identifier
1679549372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 37156
- Practice address
- 1265 Beacon St
Apt 704
Brookline, MA 02446-5200 - Phone
- (617) 407-9804
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 37156 | MA | Primary |
Addresses
Primary practice location
1265 Beacon St
Apt 704
Brookline, MA 02446-5200
Mailing address
1265 Beacon St
Apt 704
Brookline, MA 02446-5200
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4174 | Other | MA | HARVARD PILGRIM |
| 037156 | Other | MA | TUFTS HEALTH PLAN |
| 28757 | Other | MA | FALLON |
| B30142 | Other | MA | BCBS MA |
| 0300098 | Other | MA | UNITED HEALTH CARE |
| 401195 | Other | MA | HARVARD PILGRIM FIRST SEN |
| 0933877001 | Other | MA | CIGNA |
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 |
|---|---|---|---|
| 37156 | MA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1679549372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 BEACON ST",
"address_2": "APT 704",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 BEACON ST",
"address_2": "APT 704",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465200",
"telephone_number": "617-407-9804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUB",
"first_name": "DAVID",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "37156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "4174",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "037156",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "28757",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "B30142",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0300098",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM FIRST SEN",
"identifier": "401195",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0933877001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.