Active NPI
Gerald J. Riffelmacher, M.D., PC
- Internal Medicine Physician
- Medford, MA
National Provider Identifier
1851411656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 43699
- Legal business name
- GERALD J. RIFFELMACHER, M.D., PC
- Practice address
- 0 Governors Ave
Suite 33
Medford, MA 02155-3025 - Phone
- (781) 395-7638
- NPI assigned
- Mar 29, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald John Riffelmacher, M.D.
- Title
- President
- Phone
- (781) 395-7638
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 43699 | MA | Primary |
Addresses
Primary practice location
0 Governors Ave
Suite 33
Medford, MA 02155-3025
Mailing address
0 Governors Ave
Suite 33
Medford, MA 02155-3025
Phone (781) 395-7638
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3357 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 5625342 | Other | MA | AETNA |
| M13320 | Other | MA | BLUE SHIELD |
| 701485A | Other | MA | TUFTS HEALTH PLAN |
| 9720618 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
0 Governors Ave
Ste 33
Medford, MA 02155
Phone (781) 395-7638
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.
-
- Internal Medicine Physician
- Medford, MA
- NPI 1457351900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851411656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0 GOVERNORS AVE",
"address_2": "SUITE 33",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553025",
"telephone_number": "781-395-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0 GOVERNORS AVE",
"address_2": "SUITE 33",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553025",
"telephone_number": "781-395-7638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD J. RIFFELMACHER, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIFFELMACHER",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-395-7638",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "43699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "3357",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5625342",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "M13320",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "701485A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9720618",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, 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.