Individual provider Active NPI

Justine Fazio Paula, DC

  • Chiropractor
  • Brookline, MA
National Provider Identifier
1700210812
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3433 Issued in MA
Practice address
1620 Beacon St
Brookline, MA 02446-2270
Phone
(617) 505-6742
Fax
(617) 505-6769
NPI assigned
Aug 26, 2013
Last updated
Jul 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3433 MA Primary

Addresses

Primary practice location

1620 Beacon St
Brookline, MA 02446-2270

Mailing address

1620 Beacon St
Brookline, MA 02446-2270
Phone (617) 505-6742

Other practice location 1

300 Trade Center
Suite 4460
Woburn, MA 01801
Phone (781) 933-5051

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

State licenses

LicenseStateTypeSpecialty
3433MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Physician Associates Past Accepting new patients
Boston Baby Bodywork and Lactation Chiropractor Past Accepting new patients
Winchester Chiropractic Center, LLC Chiropractor PastSince Feb 1, 2018 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. PastSince Jun 1, 2015 Accepting new patients
Wellness in Motion Boston Chiropractor Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1700210812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462270",
            "telephone_number": "617-505-6742",
            "fax_number": "617-505-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462270",
            "telephone_number": "617-505-6742",
            "fax_number": "617-505-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Trade Center",
            "address_2": "Suite 4460",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "01801",
            "country_code": "US",
            "telephone_number": "781-933-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULA",
        "first_name": "JUSTINE",
        "middle_name": "FAZIO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3433",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 30, 2018; 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.