DR. MARC MICHAEL EDELSTEIN (NPI# 1831238914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831238914 |
| Entity Type | Individual |
| Full Name | DR. MARC MICHAEL EDELSTEIN |
| Credential | M.D. |
| Practice Address |
136 Harrison Ave Boston MA 02111-1817 |
| Mailing Address |
790 Boylston St 22b Boston MA 02199-7928 |
| Practice Telephone | 6176361000 |
| Mailing Telephone | 6172561144 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 208455 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669488821 | Marc Andrew Edelstein | Internal Medicine | 150 N Robertson Blvd, Suite 204, Beverly Hills, CA 90211-2142 | 2006-07-31 |
| Street Address |
136 HARRISON AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720153471 | Joyce A Sackey | Internal Medicine | 136 Harrison Ave, Sackler 8th Floor, Boston, MA 02111-1817 | 2006-11-21 |
| 1548881832 | Lily Cabour | Physician Assistant | 136 Harrison Ave, Boston, MA 02111-1817 | 2020-04-28 |
| 1154957603 | Joshua Michael Norris | Student in an Organized Health Care Education/Training Program | 136 Harrison Ave, Boston, MA 02111-1800 | 2020-03-17 |
| 1306472881 | Jessica Lauren Barrett | Physician Assistant | 136 Harrison Ave, Boston, MA 02111-1817 | 2020-03-17 |
| 1720611338 | Marina Rodzianko Blaisdell | Physician Assistant | 136 Harrison Ave, Boston, MA 02111-1817 | 2020-02-21 |
| 1801429501 | Sigal Sasson | Physician Assistant | 136 Harrison Ave, Boston, MA 02111-1817 | 2020-02-20 |
| 1083246870 | Daniel Thomas Spicer | Student in an Organized Health Care Education/Training Program | 136 Harrison Ave, Boston, MA 02111-1817 | 2020-02-10 |
| 1346559028 | Tufts University School of Medicine | General Acute Care Hospital | 136 Harrison Ave, Boston, MA 02111-1817 | 2010-09-29 |
| 1669798369 | Jacqueline Joelle Fremont-rahl | Veterinarian | 136 Harrison Ave, Boston, MA 02111-1817 | 2010-04-20 |
| 1922141407 | Paul Andrew Hattis | Preventive Medicine | 136 Harrison Ave, Boston, MA 02111-1817 | 2007-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
| 1083148167 | Daniel Digiacomo | Pediatrics | 55 Fruit St # 165, Boston, MA 02114-2621 | 2017-04-17 |
| 1568814283 | Jessica Leigh Dicarlo | Pediatrics | 800 Tufts Medical Center, Box 286, Department of Pediatrics, Boston, MA 02111-1651 | 2016-07-06 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| 1255793493 | Kelsey A. Egan | Pediatrics | 840 Harrison Ave # Menino4, Boston, MA 02118-2905 | 2016-03-27 |
| 1851787626 | Tierney Mancuso Morrison | Pediatrics | 300 Longwood Ave # 961, Boston, MA 02115-5724 | 2015-04-08 |
| 1710379797 | Marleny Yordania Aquino Cabrera | Pediatrics | 725 Albany St Ste 8c, Boston, MA 02118-2526 | 2015-02-27 |
| 1558762203 | Desiree Sierra Velez | Pediatrics | 32 Fruit St Fl 6, Boston, MA 02114-2620 | 2014-09-12 |
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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.