CITYBLOCK MEDICAL PRACTICE MA, PC (NPI# 1407493455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407493455 |
| Entity Type | Organization |
| Organization Name | CITYBLOCK MEDICAL PRACTICE MA, PC |
| Practice Address |
155 Federal St Ste 700 Boston MA 02110-1727 |
| Mailing Address |
55 Water St # 4c Brooklyn NY 11201-1052 |
| Practice Telephone | 3474011399 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | OLUWATOYIN AJAYI (PRESIDENT) |
| Authorized Official Telephone | 8446925625 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
155 FEDERAL ST STE 700 |
| City | BOSTON |
| State | MA |
| Zip Code | 02110-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
| 1700414125 | Pursuecare Massachusetts PC | Physician Assistant | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657487 | Laqueen Arleen Battle | Counselor | 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 | 2020-07-24 |
| 1164051033 | Arthur Paul Brodie | Massage Therapist | Boston Athletic Club, 653 Summer St., Boston, MA 02110 | 2020-04-03 |
| 1588146286 | Erin Collette Kenney | Dietitian, Registered | 5 Fan Peir Boulevard, Boston, MA 02110 | 2018-08-30 |
| 1316430705 | Jennifer B Ash | Psychologist | 101 Federal St Ste 1900, Boston, MA 02110 | 2018-06-11 |
| 1063930501 | Rachel Duda | Psychologist | 185 Devonshire Street Suite 901, Boston, MA 02110 | 2017-09-05 |
| 1770892101 | Chiajou Lu | Marriage & Family Therapist | 185 Devonshire St Ste 500, Boston, MA 02110 | 2010-10-04 |
| 1518298975 | Thom Delahunt | Marriage & Family Therapist | 185 Devonshire St Ste 503, Boston, MA 02110 | 2010-01-26 |
| 1710133582 | Pamela Marie Maragliano | Dentist | Lewis Wharf Bay 237, Boston, MA 02110 | 2008-08-13 |
| 1962672774 | Laura Marie Daniels | Acupuncturist | 185 Devonshire St., Suite 201, Boston, MA 02110 | 2008-03-07 |
| 1609060896 | Robert J. Chapman | Dentist | 28 Atlantic Ave. Lewis Wharf, Boston, MA 02110 | 2007-08-30 |
| Find all providers in zip 02110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1831726595 | James Dotimas | Internal Medicine | 801 Massachusetts Ave Ste 6c, Boston, MA 02118-2605 | 2020-03-24 |
| 1487291100 | Evolvd Health | Internal Medicine | 85 Brainerd Rd Apt 108, Boston, MA 02134-4529 | 2019-12-01 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| 1699237081 | Steven Lynn St Peter | Internal Medicine | 43 Union Park Apt 2, Boston, MA 02118-3702 | 2019-04-03 |
| 1083174478 | Kevin Stirling | Internal Medicine | Shapiro Primary Care 725 Albany Street, 5b/c Precepting Room, Boston, MA 02118 | 2019-03-21 |
| 1477042737 | Theofanis Kalathas | Internal Medicine | 725 Albany Street, Shapiro 5d6, Boston, MA 02118 | 2018-05-02 |
| 1801309521 | Firefly Health | Internal Medicine | 361 Newbury St Fl 5, Boston, MA 02115-2738 | 2017-11-16 |
| 1104346527 | Jodian Amor Pinkney | Internal Medicine | 55 Fruit St # 130, Boston, MA 02114-2621 | 2017-06-27 |
| 1568982502 | Priyanka Ballal | Internal Medicine | 725 Albany Street, Shapiro 586, Boston, MA 02118-2526 | 2017-06-21 |
| Find all providers in BOSTON | ||||
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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.