JJJ Health, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

154059 Issued in MA

Legal business name

JJJ HEALTH, LLC

Practice address

30 Moulton St
Newton, MA 02462-1404

Phone

(617) 244-5758

NPI assigned

Sep 21, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Tjia, MD

Title

Member

Phone

(617) 244-5758

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1790036465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MOULTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MOULTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621404",
            "telephone_number": "617-244-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJJ HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "TJIA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-244-5758",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "154059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Newton, MA
• Providers in Newton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.