Judith Gilmartin Packer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

47735 Issued in MA

Practice address

949 Centre St
Newton, MA 02459-1235

Phone

(617) 519-6099

NPI assigned

May 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Physician House Calls LLC

  • Family Nurse Practitioner
  • Newton, MA
  • NPI 1528097755

  Internal Medicine

  NPD (past) Authorized official
• Physician House Calls PC

  • Internal Medicine Physician
  • Newton, MA
  • NPI 1255334975
  NPD (past) Authorized official

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1831192566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591235",
            "telephone_number": "617-519-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591235",
            "telephone_number": "617-519-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "JUDITH",
        "middle_name": "GILMARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "47735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH PROVIDER NUMBE",
            "identifier": "0187127",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCC#",
            "identifier": "0187127",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Our Family Circle, LLC
• Mackenzie M Owades, MS, OTR/L
• Rodney Allen Owens Sr.
• Gregory F. Oxenkrug, M.D.
• Nicholas Packard, LICSW
• Marsha A Padwa, PSY D
• Boyoung Paik
• Lynn Paikowsky, MD
• Cecily Paine
• Elizabeth V Palana-Pilapil, ARNP

• 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 Mar 29, 2016; 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.