Active NPI
Anjelica J Carbajal MD LLC
- Obstetrics & Gynecology Physician
- Brookline, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 245228
- Legal business name
- ANJELICA J CARBAJAL MD LLC
- Practice address
- 1 Brookline PL Ste 423
Brookline, MA 02445-7237 - Phone
- (617) 566-1535
- NPI assigned
- May 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anjelica J Carbajal, MD
- Title
- Physician
- Phone
- (617) 566-1535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 245228 | MA | Primary |
Addresses
Primary practice location
1 Brookline PL Ste 423
Brookline, MA 02445-7237
Mailing address
1 Brookline PL Ste 423
Brookline, MA 02445-7237
Phone (617) 566-1535
Other names 1
- Anjelica J Carbajal MD
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2246177 | Anjelica J Carbajal, MD | Provider-performed microscopy | Dec 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Chelsea, MA
- NPI 1134255540
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1902397748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL STE 423",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457237",
"telephone_number": "617-566-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL STE 423",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457237",
"telephone_number": "617-566-1535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANJELICA J CARBAJAL MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-29",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "CARBAJAL",
"authorized_official_first_name": "ANJELICA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "617-566-1535",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "245228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anjelica J Carbajal MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.