Organization Active NPI

Jay B. Krasner M.D.

  • Internal Medicine Physician
  • Sudbury, MA
National Provider Identifier
1730685017
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
72857 Issued in MA
Legal business name
JAY B. KRASNER M.D.
Practice address
111 Boston Post Rd. Ste 107
Sudbury, MA 01776
Phone
(978) 443-8010
Fax
(978) 443-4634
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Mr. Jay Krasner, M.D.NPI 1316950751
Title
Sole Proprietor
Phone
(978) 443-8010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 72857 MA Primary

Addresses

Primary practice location

111 Boston Post Rd. Ste 107
Sudbury, MA 01776

Mailing address

111 Boston Post Rd. Ste 107
Sudbury, MA 01776
Phone (978) 443-8010

National Provider Directory

National Provider Directory

Locations

111 Boston Post Rd
Ste 107
Sudbury, MA 01776
Phone (508) 443-8010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1730685017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BOSTON POST RD. STE 107",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-8010",
            "fax_number": "978-443-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BOSTON POST RD. STE 107",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "01776",
            "telephone_number": "978-443-8010",
            "fax_number": "978-443-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY B. KRASNER M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "KRASNER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "978-443-8010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "72857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.