Itay Tokatly Latzer, MD

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

292352 Issued in MA

Practice address

300 Longwood Ave
Boston, MA 02115-5724

Phone

(617) 735-6000

NPI assigned

Jul 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Itay Tokatly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: itokatlylatzer35123@direct.bostonchildrens.org

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1750015640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ALTON CT APT 3",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466728",
            "telephone_number": "781-531-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-735-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATZER",
        "first_name": "ITAY TOKATLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "MA",
            "license": "292352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD (BCBS)",
            "identifier": "MTN961241126",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ITAY",
            "last_name": "TOKATLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Latsky, MD
• Christian Lattermann, MD
• Susie Lature, CPHT
• Erin Latwas, PT, DPT
• Catharina Latz, M.D.,PHD
• Kelsey See Wai Lau-Min, MD
• Rossana P Lau-NG, M.D.
• Agnes Lau, DMD
• Catherine Yuan-Hsin Lau, MD
• Cindy W Lau, DMD

• Children's Hospital in Boston, MA
• Providers in Boston, MA by specialty
• Children's Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.