Jerome Lewis Avorn, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

41147 Issued in MA

Practice address

Brigham and Women's Hospital Division of Pharmaco
1620 Tremont Street
Boston, MA 02120

Phone

(617) 278-0930

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Brigham and Womens Physicians Organization Inc

  dba dba Dept of Medicine

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1235157769
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811053440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION",
            "address_2": "111 CYPRESS ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02445",
            "telephone_number": "617-582-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIGHAM AND WOMEN'S HOSPITAL DIVISION OF PHARMACO",
            "address_2": "1620 TREMONT STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02120",
            "telephone_number": "617-278-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVORN",
        "first_name": "JEROME",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "41147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Avillach, MD
• Alejandro Avina-Cadena
• Uri Avissar, MD
• Nitza Avni
• Alicia Avola, FNP-BC
• Tucker Avra
• Alison Randi Avram, M.D.
• Mathew M Avram, MD
• Maria Avrampou
• Joseph Avruch, MD

• Geriatric Medicine (Family Medicine) Physician in Boston, MA
• Providers in Boston, MA by specialty
• Geriatric Medicine (Family Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.