Nina Carroll MD, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

57518 Issued in MA

Legal business name

NINA CARROLL MD, LLC

Practice address

55 Pond Avenue
Brookline, MA 02445

Phone

(617) 232-0202

Fax

(617) 739-7203

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nina M Carroll, MD

Title

President

Phone

(617) 232-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan Altman, M.D.

  • Gynecology Physician
  • Brookline, MA
  • NPI 1225195779
  NPD (past)
• Jacqueline A Stephen, MD

  • Obstetrics & Gynecology Physician
  • Brookline, MA
  • NPI 1659428183
  NPD (past)

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1851680698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 POND AVENUE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02445",
            "telephone_number": "617-232-0202",
            "fax_number": "617-739-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 POND AVENUE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02445",
            "telephone_number": "617-232-0202",
            "fax_number": "617-739-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA CARROLL MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-232-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "57518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3027228",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolae Dumitriu PC
• Nicole Bodin
• Nicole H. Boudreau,MD P.C.
• Beth Ann Niernberg
• Ashok N. Nimgade, MD, MPH, MS, SM
• Seiler Nishimura, LCSW
• Cheryl Beth Nissenbaum
• Yu-Qiong Niu, OD
• Jeremy J Nobel, M.D.
• Noroc LLC

• Specialist in Brookline, MA
• Providers in Brookline, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.