NPIMap

Organization Active NPI

Periscope, LLC

  • Integrative Medicine Physician
  • Brookline, MA
National Provider Identifier
1760343149
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
PERISCOPE, LLC
Practice address
58 Harvard St # 216
Brookline, MA 02445-7982
Phone
(617) 297-8290
NPI assigned
Nov 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Jennifer Kerner, MDNPI 1104085208
Title
Owner and Manager
Phone
(617) 297-8290

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

58 Harvard St # 216
Brookline, MA 02445-7982

Mailing address

58 Harvard St # 216
Brookline, MA 02445-7982
Phone (617) 297-8290

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1760343149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HARVARD ST # 216",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457982",
            "telephone_number": "617-297-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 HARVARD ST # 216",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457982",
            "telephone_number": "617-297-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERISCOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER AND MANAGER",
        "authorized_official_telephone_number": "617-297-8290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.