Active NPI
Edward Patrick Ingenito, MD PH D
- Pulmonary Disease Physician
- Boston, MA
National Provider Identifier
1871602888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 57057
- Practice address
- 75 Francis Street
Ca 318 Brigham and Womens Hospital Pulmonary Division
Boston, MA 02115 - Phone
- (617) 732-7420
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 57057 | MA | Primary |
Addresses
Primary practice location
75 Francis Street
Ca 318 Brigham and Womens Hospital Pulmonary Division
Boston, MA 02115
Mailing address
75 Francis Street
Ca 318 Brigham and Womens Hospital Pulmonary Division
Boston, MA 02115
Phone (617) 732-7420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57057 | MA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871602888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET",
"address_2": "CA 318 BRIGHAM AND WOMENS HOSPITAL PULMONARY DIVISION",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET",
"address_2": "CA 318 BRIGHAM AND WOMENS HOSPITAL PULMONARY DIVISION",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGENITO",
"first_name": "EDWARD",
"middle_name": "PATRICK",
"credential": "MD PH D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "57057",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.