DR. NADIM JIWA (NPI# 1144700535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144700535 |
Entity Type | Individual |
Full Name | DR. NADIM JIWA |
Credential | MB BS |
Practice Address |
60 Fenwood Rd Boston MA 02115-6128 |
Mailing Address |
74 Moraine St Boston MA 02130-4308 |
Practice Telephone | 6175257846 |
Mailing Telephone | 8573612347 |
Enumeration Date | 2018-08-15 |
Last Update Date | 2018-08-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
275077 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BLUE CROSS | CDW961929714 | 01 |
Street Address |
60 FENWOOD RD |
City | BOSTON |
State | MA |
Zip Code | 02115-6128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881619088 | Laura Morrissey | Social Worker | 60 Fenwood Rd, Boston, MA 02115-6128 | 2006-07-12 |
1689204356 | John Michael Sullivan | Physician Assistant | 60 Fenwood Rd, Boston, MA 02115-6128 | 2020-01-22 |
1841856044 | Alexandra Leaverton | Physician Assistant | 60 Fenwood Rd, Boston, MA 02115-6128 | 2019-05-13 |
1053872895 | Emma Eleanor Taylor Pennock | Physician Assistant | 60 Fenwood Rd, Boston, MA 02115 | 2019-03-26 |
1538624135 | Nathaniel Bernardo | Physician Assistant | 60 Fenwood Rd, Boston, MA 02115-6128 | 2019-02-07 |
1205307600 | Margaret E Naclerio | Physician Assistant | 60 Fenwood Rd, Boston, MA 02115-6128 | 2018-12-10 |
1972009033 | Sanjali Kumar | Student in an Organized Health Care Education/Training Program | 60 Fenwood Rd, Boston, MA 02115-6128 | 2018-04-05 |
1699270710 | Nishant Kumar Gupta | Student in an Organized Health Care Education/Training Program | 60 Fenwood Rd, Boston, MA 02115-6128 | 2018-03-29 |
1992200125 | Natalie Feldman | Student in an Organized Health Care Education/Training Program | 60 Fenwood Rd, Boston, MA 02115-6128 | 2018-03-28 |
1033613005 | Erica Fay Siwila-sackman | Student in an Organized Health Care Education/Training Program | 60 Fenwood Rd, Boston, MA 02115-6128 | 2018-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
Find all providers in zip 02115 |
Taxonomy Code | 2084N0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neuromuscular Medicine |
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306222377 | Karine Garneau | Psychiatry & Neurology | 25 Hancock St Apt 3, Boston, MA 02114-4164 | 2015-07-31 |
1235252149 | Steve Sang Woo Han | Psychiatry & Neurology | 55 Fruit Street, Mgh, Wac 835, Neurology, Boston, MA 02114 | 2007-04-06 |
1184030082 | Christopher Hahn | Psychiatry & Neurology | 75 Francis St, Apt 3, Boston, MA 02115-6110 | 2014-07-11 |
1629418264 | Emer Mcgrath | Psychiatry & Neurology | 60 Fenwood Rd, Boston, MA 02115-6128 | 2013-06-27 |
1457624249 | Wendy Kein Meng Liew | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-02-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.