Active NPI
Peter Jonathan Stein, D.C.
- Chiropractor
- Boston, MA
National Provider Identifier
1992783062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2722
- Practice address
- 133 Brookline Ave
FL 6
Boston, MA 02215-3904 - Phone
- (617) 232-3927
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2722 | MA | Primary |
Addresses
Primary practice location
133 Brookline Ave
FL 6
Boston, MA 02215-3904
Mailing address
133 Brookline Ave
FL 6
Boston, MA 02215-3904
Phone (617) 232-3927
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36957 | Other | MA | BLUE CROSS/BLUE SHIELD # |
| AA13739 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040107000060 | MA | Practitioner - Chiropractic | 8325947559 | Practice locations: Boston, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-6432
133 Brookline Ave 6TH Floor
Chiropractic Services
Boston, MA 02215-3904
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2722 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1992783062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVE",
"address_2": "FL 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153904",
"telephone_number": "617-232-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVE",
"address_2": "FL 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153904",
"telephone_number": "617-232-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "PETER",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD #",
"identifier": "Y36957",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA13739",
"state": "MA"
}
],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.