NPIMap

Organization Active NPI

Jal Practice

Doing business as Emerge Ketamine

  • Emergency Medicine Physician
  • Woburn, MA
National Provider Identifier
1730802687
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
JAL PRACTICE
Doing business as
Emerge Ketamine
Practice address
800 W Cummings Park Ste 6250
Woburn, MA 01801-6372
Phone
(617) 569-2112
NPI assigned
Sep 26, 2022
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Dr. Joseph Gregory Kline BenedictNPI 1689092108
Title
Owner
Phone
(425) 737-0456

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

800 W Cummings Park Ste 6250
Woburn, MA 01801-6372

Mailing address

800 W Cummings Park Ste 6250
Woburn, MA 01801-6372
Phone (781) 776-1944

Other practice location 1

140 Commonwealth Ave Ste 202
Danvers, MA 01923-3625
Phone (781) 776-1944

Other names 1

  • Emerge Ketamine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905003404 MA Part B Supplier - Clinic/Group Practice 6901346972 Receives reassigned benefits from 10 practitioners
Practice locations: Danvers, MA; Woburn, MA

National Provider Directory

National Provider Directory

Locations

140 Commonwealth Ave
Ste 202
Danvers, MA 01923
Phone (978) 762-6262

800 W Cummings Park
Ste 6250
Woburn, MA 01801
Phone (781) 569-2112

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1730802687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 6250",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "781-776-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 6250",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "617-569-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Commonwealth Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019233625",
            "country_code": "US",
            "telephone_number": "781-776-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GREGORY KLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-737-0456",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerge Ketamine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emerge Ketamine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.