DR. NADIM JIWA


Address: 60 Fenwood Rd, Boston, MA 02115-6128
Phone: 6175257846

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0008X Psychiatry & Neurology
Specialization: Neuromuscular Medicine
275077 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS CDW961929714 01

Office Location

Street Address 60 FENWOOD RD
City BOSTON
State MA
Zip Code 02115-6128

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084N0008X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neuromuscular Medicine

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

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.

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