Active NPI
New England Neurodiagnostics
- Electroneurodiagnostic Specialist/Technologist
- Brookline, MA
National Provider Identifier
1083745020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- NEW ENGLAND NEURODIAGNOSTICS
- Practice address
- 101 Summit Ave
Unit B
Brookline, MA 02446-2305 - Phone
- (617) 731-0630
- NPI assigned
- Mar 9, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. Ashok Nimgade, MD
- Title
- Owner
- Phone
- (617) 731-0630
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | NU | Primary |
Addresses
Primary practice location
101 Summit Ave
Unit B
Brookline, MA 02446-2305
Mailing address
101 Summit Ave
Unit B
Brookline, MA 02446-2305
Phone (617) 731-0630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18266 | Other | MA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Brookline, MA
- NPI 1154392108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083745020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SUMMIT AVE",
"address_2": "UNIT B",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024462305",
"telephone_number": "617-731-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SUMMIT AVE",
"address_2": "UNIT B",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024462305",
"telephone_number": "617-731-0630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND NEURODIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NIMGADE",
"authorized_official_first_name": "ASHOK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-731-0630",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "M18266",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
- Karin Elizabeth Netland, MD, MPH
- Neurocare, Inc.
- Neurocare, Inc.
- Neurodevelopmental Educational Services, PLLC
- Zeev Efraim Neuwirth, M.D.
- New England Pharmacy, LLC (New England Pharmacy & Wellness)
- New England Pharmacy, LLC
- New England Spine and Rehab, PC
- New Horizons Medical PC
- Carolyn Moore Newberger, ED.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.