Ian Zachary Pervil

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1493 Cambridge St.
Cambridge Health Alliance, Cambridge Hospital
Cambridge, MA 02139

Phone

(617) 575-5784

NPI assigned

May 15, 2013

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1881030039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST.",
            "address_2": "CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE HOSPITAL",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-575-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST.",
            "address_2": "CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE HOSPITAL",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-575-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVIL",
        "first_name": "IAN",
        "middle_name": "ZACHARY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Perry, MD
• Kayla Perry, M.S CCC-SLP
• Shayna M Perry, PSYD
• Adam Persson
• Sara Quinn Pertman, MS
• Peter a. Viteritti, P.C.
• Neal Peterson, MD
• William Ryan Peterson, MD
• Janine Petito
• Jenny A Petitpas, PA

• Student in an Organized Health Care Education/Training Program in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.