DR. JENNIFER A KABAK (NPI# 1205098530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205098530 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER A KABAK |
| Credential | DO |
| Practice Address |
67 Slade's Ferry Boulevard Somerset MA 02726-1220 |
| Practice Telephone | 5086785633 |
| Practice Fax Number | 5086735605 |
| Mailing Telephone | 5086785633 |
| Mailing Fax Number | 5086735605 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 261373 | NY | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
272992 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
67 SLADE'S FERRY BOULEVARD |
| City | SOMERSET |
| State | MA |
| Zip Code | 02726-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034252 | Paul Michael Shaughnessy Jr. | Pharmacist | 296 Buffington St, Somerset, MA 02726 | 2020-08-19 |
| 1134630775 | James M Theriault | Occupational Therapy Assistant | 279 Vermont Ave, Somerset, MA 02726 | 2017-10-23 |
| 1033634951 | Ronald Alec Coulstring Jr. | Physical Therapy Assistant | 1440 Grand Army of The Republic, Somerset, MA 02726 | 2017-08-11 |
| 1447707906 | Jessica Solup | Occupational Therapist | 158 Highview Avenue, Somerset, MA 02726 | 2016-09-01 |
| 1649639956 | Fisher Bus Inc | Secured Medical Transport (VAN) | 586 County Street, Somerset, MA 02726 | 2016-02-15 |
| 1104248988 | Jennifer Doyle | Speech-Language Pathologist | 668 Wood St, Somerset, MA 02726 | 2014-01-13 |
| 1528143906 | Joshua John Gurney | Physical Therapist | 67 G.a.r. Highway, Somerset, MA 02726 | 2006-10-26 |
| 1700972247 | Margaret Gray Clark-moroff | Optometrist | 44 Shawomet Avenue, Somerset, MA 02726 | 2006-10-04 |
| 1609884683 | Donald Albert Forbes | Dentist | 481 South Street, Somerset, MA 02726 | 2006-08-04 |
| 1124046685 | Philip Michael Robitaille | Dentist | 1188 County St, Somerset, MA 02726 | 2006-07-17 |
| Find all providers in zip 02726 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902815988 | Geza Torok | Family Medicine | 21 Clyde Rd Ste 102, Somerset, NJ 08873-5043 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093359499 | Melissa Lemayian | Family Medicine | 26 Ames St, Lowell, MA 01852-2604 | 2019-10-30 |
| 1679819031 | Joan F Tryzelaar | Family Medicine | 500 Cummings Ctr Ste 1800, Beverly, MA 01915 | 2012-12-12 |
| 1972677680 | Thomas Kevin Hicks | Family Medicine | 309 Belmont Street, Worcester Recovery Center and Hopsital, Worcester, MA 01604 | 2006-11-17 |
| 1083785000 | Edward Robert Harned | Family Medicine | 49 Echo Lane, North Chatham, MA 02650 | 2006-11-13 |
| 1912095589 | Robert Geer Insley | Family Medicine | 78 Crowell Rd, Chatham, MA 02633-1966 | 2006-10-10 |
| 1609976448 | Margaret Shelly | Family Medicine | 1755 Commonwealth Ave, Brighton, MA 02135-4040 | 2006-09-22 |
| 1194735449 | Bodkhe & Dickey Associates, LLC | Family Medicine | 51 Sanderson St Ste 10, Greenfield, MA 01301-2739 | 2006-08-09 |
| 1255356705 | Stephen Oliver Chastain | Family Medicine | 33 Lawrence St, Methuen, MA 01844-4445 | 2006-07-13 |
| 1568438513 | Anne Marie Treadup | Family Medicine | 500 Faunce Corner Rd Ste 160, North Dartmouth, MA 02747-1277 | 2006-02-28 |
| 1790779908 | Martin Lesser | Family Medicine | 1236 Main St, Suite 201, Holyoke, MA 01040-5370 | 2005-09-01 |
| Find all providers with the same taxonomy | ||||
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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.