Active NPI
Elisa Caron, MD
- Surgery Physician
- Brighton, MA
National Provider Identifier
1700450483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 289733
- Practice address
- 736 Cambridge St
Brighton, MA 02135-2907 - Phone
- (617) 798-3000
- NPI assigned
- May 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 289733 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Brighton, MA 02135-2907
Mailing address
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210813002542 | MA | Order and Referring Only - General Surgery | 1658775507 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ecaron259901@direct.bmc.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1700450483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-798-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARON",
"first_name": "ELISA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "289733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
- Caritas St. Elizabeth's Medical Center
- Caritas St. Elizabeth's Medical Center (Brighton Marine Health Center Pharmacy)
- Alexander Carlson, DO
- Steven Glenn Carlson, RPT
- Carney Medical Group
- Mahendra Carpen, MD
- Nelson Douglas Carpentier, DMD
- Jane Carper, LICSW
- Samuel Joseph Carr, M.S.
- Joseph P Carrozza Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.