MATTHEW GILLMAN MD NPI 1912978461

NPI Information

NPI: 1912978461
Provider Name: MATTHEW GILLMAN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
Phone: (617) 355-6793
Get Directions

Matthew Gillman, MD is a pediatrics in Boston, MA. The provider is 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. Matthew Gillman, MD NPI is 1912978461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 LONGWOOD AVE
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-6793

The enumeration date for this NPI number is 1/31/2006 and was last updated on 1/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		54222	MASSACHUSETTS	No
2	208000000X	Pediatrics		54222	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J04943	OTHER	MASSACHUSETTS	BLUE CARE ELECT
2	3001385	MEDICAID	MASSACHUSETTS
3	J04943	OTHER	MASSACHUSETTS	BCBS MA
4	A58135	MEDICARE UPIN
5	000000033748	OTHER	MASSACHUSETTS	BMC HEALTHNET
6	J04943	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
7	J04943	OTHER	MASSACHUSETTS	HMO BLUE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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