Organization Active NPI

Ernesto Y Jose, M.D.P.C.

  • Specialist
  • Hudson, MA
National Provider Identifier
1841491610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ERNESTO Y JOSE, M.D.P.C.
Practice address
20 Lincoln St
Hudson, MA 01749-2118
Phone
(978) 562-2804
Fax
(978) 562-2132
NPI assigned
May 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ernesto Y Jose, M.D.
Title
President
Phone
(978) 562-2804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

20 Lincoln St
Hudson, MA 01749-2118

Mailing address

20 Lincoln St
Hudson, MA 01749-2118
Phone (978) 562-2804

Other identifiers 1

IdentifierTypeStateIssuer
9754903MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841491610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LINCOLN ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492118",
            "telephone_number": "978-562-2804",
            "fax_number": "978-562-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LINCOLN ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492118",
            "telephone_number": "978-562-2804",
            "fax_number": "978-562-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO Y JOSE, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-562-2804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9754903",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.