DR. BASIM JAMAL (NPI# 1851580708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851580708 |
| Entity Type | Individual |
| Full Name | DR. BASIM JAMAL |
| Practice Address |
820 Harrison Ave, Fgh Building 4th Floor Boston MA 02118-2905 |
| Mailing Address |
28 9th St Apt 707 Medford MA 02155-5167 |
| Practice Telephone | 6176387933 |
| Mailing Telephone | 2672435712 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | DL11067 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
820 HARRISON AVE, FGH BUILDING 4TH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518452705 | Yisi D Ji | Oral & Maxillofacial Surgery | 165 Cambridge St Ste 401, Mgh Dental Group, Boston, MA 02114-2750 | 2018-06-29 |
| 1457587065 | Zachary Scott Peacock | Oral & Maxillofacial Surgery | 55 Fruit Street, Warren 1201, Boston, MA 02114-2621 | 2009-06-10 |
| 1265447965 | Edward T Lahey IIi | Oral & Maxillofacial Surgery | 15 Parkman St Wac 230, Oral & Maxillofacial Surgery, Boston, MA 02114 | 2006-07-30 |
| 1720062284 | Lisa Campanella | Oral & Maxillofacial Surgery | 55 Fruit Street Cpz 401, Massachusetts General Hospital, Boston, MA 02114 | 2005-11-30 |
| 1689299927 | Grace Hsu | Oral & Maxillofacial Surgery | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2020-06-12 |
| 1063037778 | Nancy Zhu | Oral & Maxillofacial Surgery | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2020-06-09 |
| 1821612086 | Taylor M Vanhouten | Oral & Maxillofacial Surgery | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2020-06-03 |
| 1740804277 | Tapan P Dalal | Oral & Maxillofacial Surgery | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2020-06-01 |
| 1659995181 | Kate E Mcpherson | Oral & Maxillofacial Surgery | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2020-06-01 |
| 1568086098 | Sahil Gandotra | Oral & Maxillofacial Surgery | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2020-06-01 |
| 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.