VERA T. FAJTOVA (NPI# 1750491312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750491312 |
| Entity Type | Individual |
| Full Name | VERA T. FAJTOVA |
| Credential | MD |
| Practice Address |
133 Brookline Ave Boston MA 02215-3904 |
| Mailing Address |
147 Milk St Provider Enrollment 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6174211380 |
| Practice Fax Number | 6174212115 |
| Mailing Telephone | 6174212508 |
| Mailing Fax Number | 6174213487 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
58278 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3060004 | 05 | |
| MA | TUFTS HEALTH PLAN | 058278 | 01 |
| MA | HARVARD PILGRIM | AA39784 | 01 |
| MA | BLUE CROSS | J09594 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0003047 | 01 |
| MA | CIGNA | 1422326 | 01 |
| Street Address |
133 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084833 | Claire Tine Cronin | Surgery | 133 Brookline Ave, Boston, MA 02215-3904 | 2005-06-23 |
| 1750992921 | Jessica Yang | Clinical Nurse Specialist | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-08-12 |
| 1386266104 | Mhg Physician Services - California | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-05-14 |
| 1164051520 | Mhg Physician Services - Oregon LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-04-07 |
| 1629604889 | Jessica Lareau | Counselor | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-03-19 |
| 1922651199 | Rachel Lang Caso | Social Worker | 133 Brookline Ave, Boston, MA 02215-3904 | 2019-07-17 |
| 1134698244 | Ewan D Mcnicol | Pharmacist | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-11-19 |
| 1518433531 | Mhg Physician Services - Massachusetts Pllc | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-17 |
| 1477038867 | Chantal C. Coughlin | Nurse Practitioner | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-01 |
| 1376027227 | Mhg Clinical Services LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1447604590 | Denise H. Wong | Internal Medicine | 720 Harrison Ave Ste 8100, Boston, MA 02118-2371 | 2016-04-14 |
| 1518334515 | Stephany Khalil Matta | Internal Medicine | 75 Kneeland St Lbby 5, Boston, MA 02111-1906 | 2015-08-25 |
| 1972982205 | Karen Mccloskey | Internal Medicine | 110 Francis St Ste 6a, Boston, MA 02215-5501 | 2015-05-19 |
| 1568873230 | Eric David Nolen-doerr | Internal Medicine | 720 Harrison Ave Ste 801, Boston, MA 02118-2326 | 2014-05-15 |
| 1770809147 | Sylvia Kehlenbrink Oh | Internal Medicine | 221 Longwood Avenue, Rfb-2, Bwh, Endocrinology, Diabetes and Hypertension, Boston, MA 02115 | 2010-04-10 |
| 1164746178 | Courtney Nagel Sandler | Internal Medicine | 221 Longwood Ave # Rfb2, Boston, MA 02115-5804 | 2010-03-19 |
| 1265767263 | Joel F Habener | Internal Medicine | Mgh Lab Endocrine, 55 Fruit St. Wellman 306, Boston, MA 02114 | 2009-10-08 |
| 1972741866 | Melanie Schorr Haines | Internal Medicine | Zero Emerson Place, Suite 112, Neuroendocrine Clinical Center, Boston, MA 02114 | 2009-01-30 |
| 1689833386 | Adi Barlev-ehrenberg | Internal Medicine | 221 Longwood Ave Fl 2, Brigham & Women's Hospital, Dept. of Endocrinology, Boston, MA 02115-5804 | 2008-06-06 |
| 1699896753 | Michael Rosenblatt | Internal Medicine | Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111-1800 | 2007-04-03 |
| 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.