NPIMap

Organization Active NPI

Neb Radiology PC

  • Diagnostic Radiology Physician
  • Roxbury Crossing, MA
National Provider Identifier
1073590840
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NEB RADIOLOGY PC
Practice address
125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847
Phone
(617) 754-6687
NPI assigned
Dec 22, 2005
Last updated
Feb 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Damon Spitz, MDNPI 1164417994
Title
President
Phone
(617) 233-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MA Primary

Addresses

Primary practice location

125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847

Mailing address

PO Box 4238
Portsmouth, NH 03802-4238
Phone (800) 889-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, NY, NH, FL, SC, KY, NJ8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20041018000685 MA Part B Supplier - Clinic/Group Practice 8325008972 Receives reassigned benefits from 13 practitioners
Practice locations: Burlington, MA; Chelmsford, MA; Boston, MA
O20250311002771 TX Part B Supplier - Clinic/Group Practice 8325008972 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX; Lufkin, TX
O20250425000662 NY Part B Supplier - Clinic/Group Practice 8325008972 Receives reassigned benefits from 3 practitioners
Practice locations: Rego Park, NY; New Rochelle, NY; Mount Vernon, NY; Jericho, NY; Kenmore, NY; Amherst, NY
O20250910000609 NH Part B Supplier - Clinic/Group Practice 8325008972 Receives reassigned benefits from 3 practitioners
Practice locations: Amherst, NH; Brentwood, NH; Hopkinton, NH
O20251125000982 FL Part B Supplier - Clinic/Group Practice 8325008972 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL
O20260112002503 SC Part B Supplier - Clinic/Group Practice 8325008972 Receives reassigned benefits from 1 practitioner
Practice locations: Blythewood, SC
O20260422002778 KY Part B Supplier - Clinic/Group Practice 8325008972 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY
O20260423000087 NJ Part B Supplier - Clinic/Group Practice 8325008972 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgewood, NJ

National Provider Directory

National Provider Directory
Tax ID family
Neb Radiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

187 Billerica Rd
Ste 3
Chelmsford, MA 01824
Phone (978) 250-1866

125 Parker Hill Ave
#2
Roxbury Crossing, MA 02120
Phone (617) 754-5000

19 Keewaydin Dr
Ste 2
Salem, NH 03079
Phone (603) 685-4781

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1073590840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4238",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038024238",
            "telephone_number": "800-889-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEB RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "SPITZ",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-233-3035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury Crossing, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.