Organization Active NPI

Firefly Medical Group PC

  • Internal Medicine Physician
  • Watertown, MA
National Provider Identifier
1861279705
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIREFLY MEDICAL GROUP PC
Practice address
260 Arsenal PL
Watertown, MA 02472-3171
Phone
(888) 897-1887
Fax
(857) 343-8192
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Mr. Jeffrey O Greenberg, MD
Title
Clinician
Phone
(781) 291-3042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

260 Arsenal PL
Watertown, MA 02472-3171

Mailing address

PO Box 211639
Eagan, MN 55121-3639
Phone (888) 897-1887

National Provider Directory

National Provider Directory
Tax ID family
Firefly Medical Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Walnut St
Watertown, MA 02472
Phone (781) 291-3042

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1861279705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211639",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213639",
            "telephone_number": "888-897-1887",
            "fax_number": "857-343-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 ARSENAL PL",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723171",
            "telephone_number": "888-897-1887",
            "fax_number": "857-343-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREFLY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "781-291-3042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.