NPIMap

Organization Active NPI

New England Pain Associates, PC

  • Pain Medicine (Anesthesiology) Physician
  • Brockton, MA
National Provider Identifier
1063647683
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NEW ENGLAND PAIN ASSOCIATES, PC
Practice address
1 Pearl St
Suite 2300
Brockton, MA 02301-2864
Phone
(508) 232-7464
Fax
(508) 232-7484
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Dr. Fathalla Mashali, M.D.
Title
President
Phone
(508) 232-7464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X MA Primary

Addresses

Primary practice location

1 Pearl St
Suite 2300
Brockton, MA 02301-2864

Mailing address

10 Converse PL
4TH Floor
Winchester, MA 01890-2713
Phone (781) 729-0500

Other identifiers 1

IdentifierTypeStateIssuer
9751921MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
New England Pain Associates PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

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": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1063647683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONVERSE PL",
            "address_2": "4TH FLOOR",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902713",
            "telephone_number": "781-729-0500",
            "fax_number": "781-729-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST",
            "address_2": "SUITE 2300",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012864",
            "telephone_number": "508-232-7464",
            "fax_number": "508-232-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND PAIN ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "MASHALI",
        "authorized_official_first_name": "FATHALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-232-7464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9751921",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.