Massachusetts Neurodiagnostics, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MASSACHUSETTS NEURODIAGNOSTICS, LLC

Practice address

99 Rosewood Dr Ste 265
Danvers, MA 01923-1300

Phone

(617) 648-9854

Fax

(866) 279-4704

NPI assigned

Dec 19, 2016

Organization subpart

Yes

Parent organization

ALLIANCE FAMILY OF COMPANIES, LLCAs reported in NPPES

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

Authorized official

Name

Charles Alvarez

Title

Ceo

Phone

(469) 995-8416

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Motasem A Al-Yacoub, M.D.

  • Neurology Physician
  • Pawtucket, RI
  • NPI 1609837707
  NPD

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1063956555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LAS COLINAS BLVD E STE 2000",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395607",
            "telephone_number": "469-995-8416",
            "fax_number": "469-680-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ROSEWOOD DR STE 265",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231300",
            "telephone_number": "617-648-9854",
            "fax_number": "866-279-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIANCE FAMILY OF COMPANIES, LLC",
        "enumeration_date": "2016-12-19",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-995-8416"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Martyn, DNP, PMHNP-BC
• Christina Lee Marzano
• Mass Optometric Associates, PLLC
• Mass. Department of Developmental Services
• Massachusetts General Physicians Organization (MGH Dental Group - Danvers)
• Marylynn Massey
• Linda Jay Massod, D.M.D,
• Masstex Imaging, LLC
• Masstran Corp
• Maureen Masters, BCBA

• Physiological Laboratory in Danvers, MA
• Providers in Danvers, MA by specialty
• Physiological Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.