Active NPI
Faulkner Pathologists, P.C.
- Clinical Pathology/Laboratory Medicine Physician
- Jamaica Plain, MA
National Provider Identifier
1740290352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- Legal business name
- FAULKNER PATHOLOGISTS, P.C.
- Practice address
- 1153 Centre St
Faulkner Hospital
Jamaica Plain, MA 02130-3446 - Phone
- (617) 983-7663
- NPI assigned
- Aug 8, 2006
- 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
- Dr. Stephen Pochebit, MD
- Title
- Owner
- Phone
- (617) 983-7663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | Primary |
Addresses
Primary practice location
1153 Centre St
Faulkner Hospital
Jamaica Plain, MA 02130-3446
Mailing address
1153 Centre St
Faulkner Hospital
Jamaica Plain, MA 02130-3446
Phone (617) 983-7663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9713140 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Faulkner Pathologists PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anatomic Pathology Physician
- Jamaica Plain, MA
- NPI 1326155789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740290352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"address_2": "FAULKNER HOSPITAL",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-983-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"address_2": "FAULKNER HOSPITAL",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-983-7663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAULKNER PATHOLOGISTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POCHEBIT",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-983-7663",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9713140",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.