Organization Active NPI

Fischer Neurology Assoc PC

  • Specialist
  • Melrose, MA
National Provider Identifier
1013058916
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FISCHER NEUROLOGY ASSOC PC
Practice address
830 Main St. Ground Level
Melrose, MA 02176-2711
Phone
(781) 979-9009
Fax
(781) 979-9008
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maud Carty-Fischer
Title
Practice Manager
Phone
(781) 979-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA Primary

Addresses

Primary practice location

830 Main St. Ground Level
Melrose, MA 02176-2711

Mailing address

830 Main St
Melrose, MA 02176-2711
Phone (781) 979-9009

Other identifiers 1

IdentifierTypeStateIssuer
9763431MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000169 MA Part B Supplier - Clinic/Group Practice 8729006200 Receives reassigned benefits from 1 practitioner
Practice locations: Melrose, MA

National Provider Directory

National Provider Directory

Locations

100 Hospital Rd
#N
Malden, MA 02148
Phone (781) 338-7748

830 Main St
Melrose, MA 02176
Phone (781) 979-9009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1013058916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762711",
            "telephone_number": "781-979-9009",
            "fax_number": "781-979-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MAIN ST. GROUND LEVEL",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762711",
            "telephone_number": "781-979-9009",
            "fax_number": "781-979-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISCHER NEUROLOGY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "CARTY-FISCHER",
        "authorized_official_first_name": "MAUD",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "781-979-9009"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9763431",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.