Active NPI
Helen Pang, MSN, FNP-BC
- Family Nurse Practitioner
- Boston, MA
National Provider Identifier
1851944805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2306014
- Practice address
- 30 Northampton St
Boston, MA 02118-4098 - Phone
- (617) 433-9601
- Fax
- (617) 445-6538
- NPI assigned
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2306014 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2306014 | MA | Primary |
Addresses
Primary practice location
30 Northampton St
Boston, MA 02118-4098
Mailing address
30 Northampton St
Boston, MA 02118-4098
Phone (617) 433-9601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2306014 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cityblock Medical Practice, P.a. | Current | Accepting new patients |
Locations
100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529
495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676
Interoperability endpoints
- helen.pang@217402395590660.direct.elationemr.com
- helen.pang.1@27775.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1851944805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NORTHAMPTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184098",
"telephone_number": "617-433-9601",
"fax_number": "617-445-6538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NORTHAMPTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184098",
"telephone_number": "617-433-9601",
"fax_number": "617-445-6538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "HELEN",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2306014",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2306014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.