Active NPI
Jay B. Krasner M.D.
- Internal Medicine Physician
- Sudbury, MA
National Provider Identifier
1730685017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 72857
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay Krasner, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Sudbury, MA
- NPI 1316950751
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": []
}
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- Sarah Islam, DDS
- Amika Jasty
- Jeanine Grier Reczek MD PC
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- Susan D Jones, PT
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- Spiro Andreas Kanellos
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.