JAL PRACTICE
NPI 1730802687
Emergency Medicine in Woburn, MA

Active since September 26, 2022
800 W CUMMINGS PARK STE 6250, WOBURN, MA 01801(617) 569-2112 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2025, Mar 21, 2025, Mar 13, 2025 and 3 more (6 updates tracked since 2022).

About Jal Practice NPPES

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

JAL PRACTICE (NPI 1730802687), doing business as Emerge Ketamine, is a healthcare organization registered as an emergency medicine in Woburn, Massachusetts and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Danvers and lists Joseph Gregory Kline Benedict, Owner, as its authorized official.

NPPES Registry Identity

NPI1730802687
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameJAL PRACTICE
Location Address800 W CUMMINGS PARK STE 6250Woburn, MA 01801-6372
Mailing Address800 W Cummings Park Ste 6250Woburn, MA 01801-6372 · (781) 776-1944
Organization SubpartNo
Authorized OfficialJoseph Gregory Kline BenedictOwner · (425) 737-0456
Enumeration DateSeptember 26, 2022
Last NPPES UpdateFebruary 19, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1730802687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
800 W CUMMINGS PARK STE 6250, Woburn, MA 01801

Other Names 1

Doing Business AsEmerge Ketamine

Secondary Practice Location 1

Location 1140 Commonwealth Ave Ste 202Danvers, MA 01923-3625 · Phone (781) 776-1944

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jal Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Jal Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner9
Emergency Medicine2

Clinicians, nearest first (11)

Emergency Medicine
NPI 1689092108
800 W CUMMINGS PARK STE 6250
Woburn, MA 01801
(781) 776-1944
✔ PECOSSame address
Nurse Practitioner
NPI 1699547075
50 TOWER OFFICE PARK
Woburn, MA 01801
(781) 797-3373
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1689334369
61 MAIN ST
Stoneham, MA 02180
(781) 438-2927
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1700661253
564 MAIN ST SUITE 100
Waltham, MA 02452
(833) 287-7223
✔ PECOS9.9 mi
Nurse Practitioner
NPI 1174178776
227 BABCOCK ST
Brookline, MA 02446
(978) 473-9883
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1891498051
VITRUVIAN BEHAVIORAL HEALTH 100 CUMMINGS CENTER SUITE 207 P
Danvers, MA 01923
(978) 791-3879
✔ PECOS✔ Accepts Medicare11 mi
Emergency Medicine
NPI 1407243504
1 BOSTON MEDICAL CTR PL DEPT OF DOWLING 1 SOUTH ROOM 1322
Boston, MA 02118
(617) 414-4929
✔ PECOS11 mi
Nurse Practitioner
NPI 1811320559
70 WASHINGTON ST STE 215
Salem, MA 01970
(617) 203-8676
✔ PECOS12 mi
Nurse Practitioner
NPI 1528622826
33 LYMAN ST STE 400
Westborough, MA 01581
(508) 898-0055
✔ PECOS29 mi
Nurse Practitioner
NPI 1326837006
195 MAIN ST
Franklin, MA 02038
(508) 376-6070
✔ PECOS31 mi
Nurse Practitioner
NPI 1235830365
100 HIGH TOWER BLVD STE 200
Pittsburgh, PA 15205
(412) 214-0042
✔ PECOS489 mi

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

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 Jal Practice's NPI number?

The NPI number for Jal Practice is 1730802687. It was assigned to this organization in the NPPES registry on September 26, 2022. The provider is doing business as Emerge Ketamine.

Where is Jal Practice located?

Jal Practice is located at 800 W Cummings Park Ste 6250, Woburn, MA 01801. The listed phone number is (617) 569-2112.

What is Jal Practice's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jal Practice enrolled in Medicare?

Yes. Jal Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jal Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Jal Practice. A 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 the clinician's services. The largest specialties are Nurse Practitioner (9) and Emergency Medicine (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jal Practice was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.