Individual provider Active NPI

Jean Itaney Toussaint, M.D

  • Family Medicine Physician
  • Lawrence, MA
National Provider Identifier
1790025930
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
254761 Issued in MA
Practice address
700 Essex St
Lawrence, MA 01841-4396
Phone
(978) 689-2400
Fax
(978) 683-0663
NPI assigned
Feb 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 254761 MA Primary

Addresses

Primary practice location

700 Essex St
Lawrence, MA 01841-4396

Mailing address

700 Essex St
Lawrence, MA 01841-4396
Phone (978) 689-2400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131205001078 MA Practitioner - Family Practice 1951538578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Lawrence Family Health Center IncGroup PAC ID 0446221956, 118 clinicians

Practice addresses (Care Compare)

700 Essex St
Lawrence, MA 01841-4398
Phone (978) 689-2400

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lawrence Family Health Center, Inc. CurrentSince Nov 4, 2013 Accepting new patients
Greater Lawrence Family Health Center Inc CurrentSince Nov 4, 2013 Accepting new patients

Locations

34 Haverhill St
Lawrence, MA 01841

700 Essex St
Lawrence, MA 01841
Phone (978) 689-2400

150 Park St
Lawrence, MA 01841
Phone (978) 685-1770

Interoperability endpoints

  • Direct secure messaging: jean.toussaint.1@23857.direct.athenahealth.com

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 1

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1790025930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018414396",
            "telephone_number": "978-689-2400",
            "fax_number": "978-683-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018414396",
            "telephone_number": "978-689-2400",
            "fax_number": "978-683-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSSAINT",
        "first_name": "JEAN",
        "middle_name": "ITANEY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "254761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.