Jerilyn Marie Latini, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

7321 Issued in AK

Practice address

1400 VFW Pkwy
Mail Code WX-112
West Roxbury, MA 02132-4927

Phone

(857) 203-6551

Fax

(857) 203-6660

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Regents of the University of Michigan

  • General Acute Care Hospital
  • Ann Arbor, MI
  • NPI 1003878539
  NPD (past)
• Regents of the University of Michigan

  • Urology Physician
  • Ann Arbor, MI
  • NPI 1437184884
  NPD (past)
• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1710078076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "address_2": "MAIL CODE WX-112",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "857-203-6551",
            "fax_number": "857-203-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "address_2": "MAIL CODE WX-112",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "857-203-6551",
            "fax_number": "857-203-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATINI",
        "first_name": "JERILYN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AK",
            "license": "7321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1577485",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Landonia House
• Thomas F Langevin, RN
• Diane Elizabeth Lapsley, R.N.
• Laser Laser Inc
• Roudabeh Latifpour, PHARM.D.
• Laura Leary
• Lincoln W Lawrence Jr., DPT
• Learning Gallery
• Caitlin Lebeau
• Mary Beth Ledoux

• Urology Physician in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.