Active NPI
Alicia A Demirjian, MD
- Pediatrics Physician
- Boston, MA
National Provider Identifier
1902008675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 228691
- Practice address
- 300 Longwood Ave
Infectious Diseases Division
Boston, MA 02115-5724 - Phone
- (617) 919-2900
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 228691 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Infectious Diseases Division
Boston, MA 02115-5724
Mailing address
165 Tremont St Unit 503
Boston, MA 02111-1155
Phone (617) 818-7713
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 |
|---|---|---|---|
| 228691 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1902008675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 TREMONT ST UNIT 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111155",
"telephone_number": "617-818-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "INFECTIOUS DISEASES DIVISION",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-919-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMIRJIAN",
"first_name": "ALICIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "228691",
"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 Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.