JMG Macipa LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JMG MACIPA LLC

Practice address

101 Main St Ste 208
Medford, MA 02155-4530

Phone

(781) 395-9916

Fax

(781) 395-9960

NPI assigned

Nov 19, 2019

Organization subpart

Yes

Parent organization

JASON M. GILBERT, M.D.P.C.As reported in NPPES

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

Authorized official

Name

Jason M Gilbert, MD

Title

Owner

Phone

(781) 395-9916

Specialties & licenses 1

Addresses

Other names 1

• Jason Gilbert, MD Other name

Part of

Jason M Gilbert MDPC

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1861038465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST STE 208",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554530",
            "telephone_number": "781-395-9916",
            "fax_number": "781-395-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST STE 208",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554530",
            "telephone_number": "781-395-9916",
            "fax_number": "781-395-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMG MACIPA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASON M. GILBERT, M.D.P.C.",
        "enumeration_date": "2019-11-19",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-395-9916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jason Gilbert, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Niketa Kedar Jayawant
• Sabina F Jean Blanc, DOULA
• Jasmine Jean, OTR/L
• Lindsey Jeffries
• Dawna K Jenne, LMFT
• Patrick G Johnson
• Paul Michael Johnson
• Abigail Jones
• Craig D. Jones
• Beverley H Jouett, LICSW

• Ophthalmology Physician in Medford, MA
• Providers in Medford, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.