Individual provider Active NPI

Alla I Neyshtadt, M.D.

  • Internal Medicine Physician
  • Newton, MA
National Provider Identifier
1063576296
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
150852 Issued in MA
Practice address
2000 Washington St
Blue Building, Suite 420
Newton, MA 02462-1650
Phone
(617) 630-9823
Fax
(617) 630-4481
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 150852 MA Primary

Addresses

Primary practice location

2000 Washington St
Blue Building, Suite 420
Newton, MA 02462-1650

Mailing address

2000 Washington St
Blue Building, Suite 420
Newton, MA 02462-1650
Phone (617) 630-9823

Other identifiers 1

IdentifierTypeStateIssuer
3153380MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000305 MA Practitioner - Internal Medicine 0547358749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 Washingotn St
Newton, MA 02462-1650
Phone (617) 630-9823

Hospital & facility affiliations

  • Central Home Health Care, Inc Home health agency, Needham, MA, CCN 227532
  • All at Home Health Care LLC Home health agency, Brookline, MA, CCN 227550
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alla I. Neyshtadt, M.D., PC.. CurrentSince Sep 1, 1996 Accepting new patients

Locations

2000 Washington St
Ste 420
Newton Lower Falls, MA 02462
Phone (617) 630-9823

2000 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Interoperability endpoints

  • Direct secure messaging: neyshtadt.alla.anmd@direct.partners.masshiway.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1063576296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "BLUE BUILDING, SUITE 420",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-630-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "BLUE BUILDING, SUITE 420",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-630-9823",
            "fax_number": "617-630-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYSHTADT",
        "first_name": "ALLA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "150852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3153380",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.