Active NPI
Cathy Jeon, MD
- Cardiovascular Disease Physician
- Burlington, MA
National Provider Identifier
1710075643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 213973
- Practice address
- 41 Mall Rd.
Lahey Clinic Department of Cardiovascular Medicine
Burlington, MA 01805-0001 - Phone
- (781) 744-8460
- Fax
- (781) 272-5261
- NPI assigned
- Oct 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 213973 | MA | Primary |
| Interventional Cardiology Physician | 207RI0011X | 213973 | MA |
Addresses
Primary practice location
41 Mall Rd.
Lahey Clinic Department of Cardiovascular Medicine
Burlington, MA 01805-0001
Mailing address
41 Mall Rd
Lahey Clinic
Burlington, MA 01805-0001
Phone (781) 744-8460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110077188A | Medicaid | MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Hospital, Inc. | Past | Accepting new patients | |
| Evans Medical Foundation, Inc. | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1710075643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"address_2": "LAHEY CLINIC",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8460",
"fax_number": "781-744-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD.",
"address_2": "LAHEY CLINIC DEPARTMENT OF CARDIOVASCULAR MEDICINE",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8460",
"fax_number": "781-272-5261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEON",
"first_name": "CATHY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "213973",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MA",
"license": "213973",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110077188A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.