Active NPI
Jaleh Rasoli
- Medical Physician Assistant
- Wellesley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 6297
- Practice address
- 20 Hickory Rd
Wellesley, MA 02482-4534 - Phone
- (617) 721-0886
- NPI assigned
- Nov 1, 2017
- Last updated
- Nov 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 6297 | MA | Primary |
Addresses
Primary practice location
20 Hickory Rd
Wellesley, MA 02482-4534
Mailing address
20 Hickory Rd
Wellesley, MA 02482-4534
Phone (617) 721-0886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6439
41 Highland Ave
Winchester, MA 01890-1446
Phone (781) 729-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6297 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England PC | Current | Accepting new patients | |
| Ipc Hospitalists of New England, P.C. | Medical | Current | Accepting new patients |
| Winchester Hospital | Past | Accepting new patients |
Locations
95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596
111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200
67 Union St
Natick, MA 01760
Phone (508) 383-1104
111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858
37 Route 6A
Sandwich, MA 02563
Phone (508) 888-8222
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1649626391
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1144770629
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1659555266
-
- Geriatric Medicine (Internal Medicine) Physician
- East Boston, MA
- NPI 1932984317
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
MA
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1932516176
Medical
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509494400000",
"number": "1740792530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HICKORY RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024824534",
"telephone_number": "617-721-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HICKORY RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024824534",
"telephone_number": "617-721-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASOLI",
"first_name": "JALEH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-01",
"last_updated": "2017-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "6297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.