Active NPI
Daniel Jay Pallin, MD, MPH
- Emergency Medicine Physician
- Boston, MA
National Provider Identifier
1700843166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 214353
- Practice address
- 75 Francis St
Brigham & Women'S Hospital Department of Emergency Medi
Boston, MA 02115 - Phone
- (617) 732-5640
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 64730 | CT | |
| Emergency Medicine Physician | 207P00000X | 214353 | MA | Primary |
Addresses
Primary practice location
75 Francis St
Brigham & Women'S Hospital Department of Emergency Medi
Boston, MA 02115
Mailing address
75 Francis St
Brigham & Women'S Hospital Department of Emergency Medi
Boston, MA 02115
Phone (617) 732-5640
Other practice location 1
540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1700843166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "BRIGHAM & WOMEN'S HOSPITAL DEPARTMENT OF EMERGENCY MEDI",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "BRIGHAM & WOMEN'S HOSPITAL DEPARTMENT OF EMERGENCY MEDI",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5640"
}
],
"practiceLocations": [
{
"address_1": "540 Litchfield St",
"address_purpose": "LOCATION",
"city": "Torrington",
"state": "CT",
"postal_code": "067906679",
"country_code": "US",
"telephone_number": "860-496-6666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALLIN",
"first_name": "DANIEL",
"middle_name": "JAY",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "64730",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "214353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.