Active NPI
Bijan Jamil Teja, M.D.
- Surgery Physician
- Boston, MA
National Provider Identifier
1790118008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 256602
- Practice address
- 330 Brookline Ave
Boston, MA 02215-5400 - Phone
- (617) 667-5864
- NPI assigned
- Aug 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 256602 | MA | Primary |
Addresses
Primary practice location
330 Brookline Ave
Boston, MA 02215-5400
Mailing address
91 Kilmarnock St
Apt 2
Boston, MA 02215-5120
Phone (832) 600-5309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256602 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376179200000",
"number": "1790118008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 KILMARNOCK ST",
"address_2": "APT 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155120",
"telephone_number": "832-600-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400",
"telephone_number": "617-667-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJA",
"first_name": "BIJAN",
"middle_name": "JAMIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-11",
"last_updated": "2013-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "256602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.