Individual provider Active NPI

Jeffrey Mark Lingenfelter, PA-C

  • Physician Assistant
  • Newton, MA
National Provider Identifier
1750733382
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5784 Issued in MA
Practice address
2000 Washington St
Suite 341 White Building
Newton, MA 02462-1650
Phone
(617) 964-0024
Fax
(617) 964-6374
NPI assigned
Jul 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5784 MA Primary

Addresses

Primary practice location

2000 Washington St
Suite 341 White Building
Newton, MA 02462-1650

Mailing address

2000 Washington St
Suite 341 White Building
Newton, MA 02462-1650
Phone (617) 964-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210514002143 MA Practitioner - Physician Assistant 1052720422 Reassigns benefits to 1 organization
I20230804000029 NH Practitioner - Physician Assistant 1052720422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Wellesley Orthopedic Associates IncGroup PAC ID 0042287591, 25 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

2000 Washington St
Suite 341
Newton, MA 02462-1625
Phone (617) 964-0024

860 Route 134
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1766NHMDOccupational Therapist
PA5784MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Orthopedic Associates Inc CurrentSince Feb 10, 2021 Accepting new patients

Locations

2000 Washington St
Ste 341
Newton Lower Falls, MA 02462
Phone (617) 964-0024

54 Washington St
Wellesley Hills, MA 02481
Phone (781) 237-0400

40 Washington St
Ste 130
Wellesley Hills, MA 02481
Phone (617) 738-0857

2 Market Pl
Ste 100
Hollis, NH 03049
Phone (603) 600-6175

41 Innovative Way
Nashua, NH 03062
Phone (603) 484-7710

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1750733382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 341 WHITE BUILDING",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-964-0024",
            "fax_number": "617-964-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 341 WHITE BUILDING",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-964-0024",
            "fax_number": "617-964-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGENFELTER",
        "first_name": "JEFFREY",
        "middle_name": "MARK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.