Active NPI
David Tuck, M.D.
- Hematology & Oncology Physician
- Boston, MA
National Provider Identifier
1871837955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 069295
- Practice address
- 150 S Huntington Ave
Boston, MA 02130 - Phone
- (781) 491-4214
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 029695 | CT | |
| Hematology & Oncology Physician | 207RH0003X | 069295 | CT | Primary |
Addresses
Primary practice location
150 S Huntington Ave
Boston, MA 02130
Mailing address
PO Box 537
2 North Rd
South Lyme, CT 06376-0537
Other practice location 1
2 Captain's Way
South Lyme, CT 06376-0537
Phone (860) 434-3770
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069295 | CT | MD | Hematology & Oncology Physician |
| 029695 | CT | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1871837955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 537",
"address_2": "2 NORTH RD",
"city": "SOUTH LYME",
"state": "CT",
"postal_code": "063760537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02130",
"telephone_number": "781-491-4214"
}
],
"practiceLocations": [
{
"address_1": "2 Captain's Way",
"address_purpose": "LOCATION",
"city": "South Lyme",
"state": "CT",
"postal_code": "063760537",
"country_code": "US",
"telephone_number": "860-434-3770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCK",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CT",
"license": "029695",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CT",
"license": "069295",
"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 Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.