Dr Amirifeli Nouvelle Avenue PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR AMIRIFELI NOUVELLE AVENUE PLLC

Practice address

431 Pond St
Jamaica Plain, MA 02130-3402

Phone

(617) 784-0824

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Shideh AmirifeliNPI 1083763890

Title

Owner

Phone

(617) 784-0824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

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

• Shideh Amirifeli, M.D.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1083763890
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1871304154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 NEWTON ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 POND ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303402",
            "telephone_number": "617-784-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AMIRIFELI NOUVELLE AVENUE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "AMIRIFELI",
        "authorized_official_first_name": "SHIDEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-784-0824"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Joseph Donnelly, PH. D.
• David C Dorney, PH.D.
• Marelin Dost, LCSW
• Evelyn Dougherty, LICSW
• Chanelle Dow, LMHC
• Margaret Ann Drazba, RD
• Carmel Trinity Drewes, LICSW (MA), LCSW (TX
• Hilla Drewiacki Breiman
• Brittany Dries
• Mary Elizabeth Driscoll-Grace, LICSW

• Internal Medicine Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.