Active NPI
Neb Radiology PC
- Diagnostic Radiology Physician
- Roxbury Crossing, MA
National Provider Identifier
1073590840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damon Spitz, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9777482 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX, NY, NH, FL, SC, KY, NJ
Enrollment records 8
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Radiology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1467827162
Locations
1 Brookline Pl
Ste 105
Brookline, MA 02445
Phone (617) 278-8000
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 52
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Peabody, MA
- NPI 1124032271
Diagnostic Radiology, MA
-
- Diagnostic Radiology Physician
- Roxbury Crossing, MA
- NPI 1871517128
Diagnostic Radiology, MA
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1730400409
Diagnostic Radiology, MA
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1407056054
Diagnostic Radiology, NY
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9777482",
"state": "MA"
}
],
"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.