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

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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 and is a graduate of Other (2022).

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
Medical School CMSOtherGraduated 2022
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Jay Huang is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123591567
PECOS Enrollment IDI20260626000236
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.

Medicare Billing Reassignment

Medicare enrollment records show Jack Huang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Mclean Hospital Corporation
5.9 mi
Psychiatry
115 MILL ST
Belmont, MA 02478
  • Reassigned Medicare billing, Massachusetts enrollment
  • 422 clinicians in this Medicare group
NPI 1114979580 (617) 855-2183

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-5500
DR. BENJAMIN ROCHE JOHNSTON M.D., PH.D.
Neurological Surgery
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-5500
DR. JUSTIN J FRERE MD, PHD
Student in an Organized Health Care Education/Training Program
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-6753
BRIAN LUSBY MD, MSC
Psychiatry & Neurology (Psychiatry)
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-6753
LOUISA GRACE ADAMA AJA MD
Student in an Organized Health Care Education/Training Program
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-6753
RACHAEL ROSALES
Psychiatry & Neurology (Psychiatry)
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-5056
WILLIAM FRENCH
Psychiatry & Neurology (Psychiatry)
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-5056
EMMA ELEANOR TAYLOR PENNOCK PA-C
Physician Assistant
60 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 732-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jack Huang located?

Jack Huang practices at 60 Fenwood Rd, Boston, MA 02115. The listed phone number is (617) 732-5056.

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.

Is Jack Huang enrolled in Medicare?

Yes. Jack Huang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jack Huang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Huang reassigns Medicare benefits to The Mclean Hospital Corporation (Belmont, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Huang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.