Active NPI
Adel A Alhazzani, M.D
- Vascular Neurology Physician
- Boston, MA
National Provider Identifier
1013156249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 236960
- Practice address
- 330 Brookline Avenue
Palmer 127 Division of Cerebrovascular Disease
Boston, MA 02215 - Phone
- (617) 632-8911
- Fax
- (617) 632-8920
- NPI assigned
- Feb 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 236960 | MA | Primary |
Addresses
Primary practice location
330 Brookline Avenue
Palmer 127 Division of Cerebrovascular Disease
Boston, MA 02215
Mailing address
330 Brookline Avenue
Palmer 127 Division of Cerebrovascular Disease
Boston, MA 02215
Phone (617) 632-8911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236960 | MA | MD | Vascular Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1013156249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVENUE",
"address_2": "PALMER 127 DIVISION OF CEREBROVASCULAR DISEASE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-632-8911",
"fax_number": "617-632-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVENUE",
"address_2": "PALMER 127 DIVISION OF CEREBROVASCULAR DISEASE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-632-8911",
"fax_number": "617-632-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALHAZZANI",
"first_name": "ADEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-11",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "MA",
"license": "236960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.