Jillian S Imagire, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

152299 Issued in MA

Practice address

Concert Pharmaceuticals
99 Hayden Ave, Suite 100
Lexington, MA 02421

Phone

(781) 860-0045

NPI assigned

Feb 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1861660201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BURNHAM RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201905",
            "telephone_number": "781-860-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONCERT PHARMACEUTICALS",
            "address_2": "99 HAYDEN AVE, SUITE 100",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02421",
            "telephone_number": "781-860-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAGIRE",
        "first_name": "JILLIAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "152299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Hurley
• Rita F Hurwitz, PH.D.
• Luisa Ibner
• Icon DPMG LLC
• Kyriakoula Iliopoulos
• Institute for Learning and Development
• Institute for Learning and Development
• Anastasia Ivanenko, OTR/L
• David V Ives, MD
• Jackson Clinic LLC

• Diagnostic Radiology Physician in Lexington, MA
• Providers in Lexington, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.