JACK JAY HUANG
NPI 1104576537
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Jack Huang's NPI number?

The NPI number for Jack Huang is 1104576537. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Q: What is Jack Huang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Huang was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2022PECOS Enrolled

60 FENWOOD RD, BOSTON, MA 02115(617) 732-5056 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jack Jay Huang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK JAY HUANG (NPI 1104576537) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104576537

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACK JAY HUANG

Location Address60 FENWOOD RDBoston, MA 02115-6128

Mailing Address60 Fenwood RdBoston, MA 02115-6128

Phone(617) 732-5056

Sole ProprietorNo

Enumeration DateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1104576537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

60 FENWOOD RD, Boston, MA 02115

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Jay Huang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH JEFFREY TAYLOR M.D., PH.D.

Psychiatry & Neurology (Psychiatry)