VERA T. FAJTOVA


Address: 133 Brookline Ave, Boston, MA 02215-3904
Phone: 6174211380

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
58278 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 133 BROOKLINE AVE
City BOSTON
State MA
Zip Code 02215-3904

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City BOSTON
Zip Code 02215

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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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