NPIMap

Individual provider Active NPI

John Eastman

  • Physician Assistant
  • Hyde Park, MA
National Provider Identifier
1720608912
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7499 Issued in MA
Practice address
1337 Hyde Park Ave
Hyde Park, MA 02136-2713
Phone
(617) 364-9880
NPI assigned
Apr 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X PA7499 MA Primary

Addresses

Primary practice location

1337 Hyde Park Ave
Hyde Park, MA 02136-2713

Mailing address

184 Elm St Apt 3
Quincy, MA 02169-5515
Phone (781) 475-4736

Other practice location 1

1832 Centre St
West Roxbury, MA 02132-1901
Phone (617) 469-4000

Other practice location 2

100 Everett Ave # 16C
Chelsea, MA 02150-2309
Phone (617) 887-4600

Other practice location 3

143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 624-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201201000177 MA Practitioner - Physician Assistant 7113338922 Reassigns benefits to 6 organizations
I20260604000103 SC Practitioner - Physician Assistant 7113338922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

100 Everett Ave
Chelsea, MA 02150-2309
Phone (617) 887-4600

1337 Hyde Park Ave
Hyde Park, MA 02136-2713
Phone (617) 364-9880

1832 Centre St
West Roxbury, MA 02132-1901
Phone (617) 469-4000

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA7499MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince Feb 9, 2023 Accepting new patients
Brigham and Women'S Faulkner Hospital, Inc Current Accepting new patients
Prima Care, PC CurrentSince Nov 1, 2020 Accepting new patients
Prima Care, PC CurrentSince Nov 1, 2020 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

100 Everett Ave
#16C
Chelsea, MA 02150
Phone (617) 887-4600

277 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 235-0481

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: eastman.john.fh@direct.partners.masshiway.net

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1720608912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 ELM ST APT 3",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695515",
            "telephone_number": "781-475-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 HYDE PARK AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362713",
            "telephone_number": "617-364-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1832 Centre St",
            "address_purpose": "LOCATION",
            "city": "West Roxbury",
            "state": "MA",
            "postal_code": "021321901",
            "country_code": "US",
            "telephone_number": "617-469-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Everett Ave # 16C",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MA",
            "postal_code": "021502309",
            "country_code": "US",
            "telephone_number": "617-887-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 Longwater Dr",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020611683",
            "country_code": "US",
            "telephone_number": "781-624-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

Verify at the official NPI Registry.