Active NPI
Jan E Leyden, M.D.
- Student in an Organized Health Care Education/Training Program
- Brookline, MA
National Provider Identifier
1821236852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 238315
- Practice address
- 99 Pond Ave
#342
Brookline, MA 02445-7129 - Phone
- (617) 708-4568
- NPI assigned
- Jan 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 238315 | MA | Primary |
Addresses
Primary practice location
99 Pond Ave
#342
Brookline, MA 02445-7129
Mailing address
99 Pond Ave
#342
Brookline, MA 02445-7129
Phone (617) 708-4568
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 |
|---|---|---|---|
| 238315 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1821236852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 POND AVE",
"address_2": "#342",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457129",
"telephone_number": "617-708-4568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 POND AVE",
"address_2": "#342",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457129",
"telephone_number": "617-708-4568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYDEN",
"first_name": "JAN",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "238315",
"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 Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.