Active NPI
Jackie J Lian
- Diagnostic Radiology Physician
- Boston, MA
National Provider Identifier
1912407768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 66597
- Practice address
- 1 Deaconess Road
Radiology Dept., Bidmc
Boston, MA 02215 - Phone
- (617) 754-2519
- Fax
- (617) 754-2545
- NPI assigned
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 66597 | DC | Primary |
Addresses
Primary practice location
1 Deaconess Road
Radiology Dept., Bidmc
Boston, MA 02215
Mailing address
310 Tweedsmuir Avenue
Unit 320
Toronto, ONTARIO 522
CA
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 |
|---|---|---|---|
| 66597 | DC | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1912407768",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "310 TWEEDSMUIR AVENUE",
"address_2": "UNIT 320",
"city": "TORONTO",
"state": "ONTARIO",
"postal_code": "522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DEACONESS ROAD",
"address_2": "RADIOLOGY DEPT., BIDMC",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-754-2519",
"fax_number": "617-754-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAN",
"first_name": "JACKIE",
"middle_name": "J",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DC",
"license": "66597",
"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 Feb 19, 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.