Individual provider Active NPI

Gillian Serino, NP

  • Family Nurse Practitioner
  • Quincy, MA
National Provider Identifier
1689643108
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
252242 Issued in MA
Practice address
10 Willard Street
Quincy, MA 02169
Phone
(617) 479-1452
Fax
(617) 479-3500
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 252242 MA Primary

Addresses

Primary practice location

10 Willard Street
Quincy, MA 02169

Mailing address

10 Willard Street
Quincy, MA 02169
Phone (617) 479-1452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000530 MA Practitioner - Nurse Practitioner 6305800335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Feb 9, 2020 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Feb 9, 2020 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

101 Columbian St
Fl 3
Weymouth, MA 02190
Phone (781) 624-4800

101 Columbian St
Weymouth, MA 02190
Phone (781) 624-4800

Interoperability endpoints

  • Direct secure messaging: serino.gillian.dfci@direct.partners.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1689643108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILLARD STREET",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-479-1452",
            "fax_number": "617-479-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILLARD STREET",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-479-1452",
            "fax_number": "617-479-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERINO",
        "first_name": "GILLIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "252242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.