Active NPI
Ayleen Gregorian DPM
- Primary Podiatric Medicine Podiatrist
- Harvard, MA
National Provider Identifier
1912449133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 2165
- Legal business name
- AYLEEN GREGORIAN DPM
- Practice address
- 22 Park LN
Harvard, MA 01451-1436 - Phone
- (781) 254-7093
- Fax
- (978) 456-7842
- NPI assigned
- Nov 7, 2016
- Last updated
- Nov 7, 2016
- 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
- Dr. Ayleen Gregorian, DPM
- Title
- Owner
- Phone
- (781) 254-7093
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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 2165 | MA | Primary |
Addresses
Primary practice location
22 Park LN
Harvard, MA 01451-1436
Mailing address
22 Park LN
Harvard, MA 01451-1436
Phone (781) 254-7093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0323420 | Medicaid | MA |
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, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Bedford, MA
- NPI 1992768873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478476800000",
"number": "1912449133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PARK LN",
"city": "HARVARD",
"state": "MA",
"postal_code": "014511436",
"telephone_number": "781-254-7093",
"fax_number": "978-456-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PARK LN",
"city": "HARVARD",
"state": "MA",
"postal_code": "014511436",
"telephone_number": "781-254-7093",
"fax_number": "978-456-7842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AYLEEN GREGORIAN DPM",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-07",
"last_updated": "2016-11-07",
"status": "A",
"authorized_official_last_name": "GREGORIAN",
"authorized_official_first_name": "AYLEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-254-7093",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "MA",
"license": "2165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0323420",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harvard, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.