Active NPI
Neurocare, Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- NEUROCARE, INC.
- Practice address
- 70 Wells Ave
Suite 201
Newton, MA 02459-3210 - Phone
- (617) 796-7766
- Fax
- (617) 796-9099
- NPI assigned
- Aug 23, 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
- Mr. William Robert Mayer
- Title
- Controller
- Phone
- (617) 796-7766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
70 Wells Ave
Suite 201
Newton, MA 02459-3210
Mailing address
70 Wells Ave
Suite 201
Newton, MA 02459-3210
Phone (617) 796-7766
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603116 | Other | MA | HARVARDPILGRIMHEALTHCARE |
| 0577845 | Other | MA | AETNA US HEALTHCARE |
| SF038269 | Other | MA | BCBS OF MA |
| 713709 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050110000430 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2365490034 | Practice locations: Newton, MA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1024185 | Neurocare Inc | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Neurocare Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sleep Disorder Diagnostic Clinic/Center
- Brockton, MA
- NPI 1538286703
-
- Clinical Medical Laboratory
- Brookline, MA
- NPI 1649612516
Locations
70 Wells Ave
Newton, MA 02459
70 Wells Ave
Ste 201
Newton, MA 02459
Phone (617) 796-7766
70 Wells Ave
Ste 101
Newton Center, MA 02459
Phone (617) 581-6401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Boston, MA
- NPI 1861506776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1124011440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WELLS AVE",
"address_2": "SUITE 201",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593210",
"telephone_number": "617-796-7766",
"fax_number": "617-796-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WELLS AVE",
"address_2": "SUITE 201",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593210",
"telephone_number": "617-796-7766",
"fax_number": "617-796-9099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-23",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MAYER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "617-796-7766",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARDPILGRIMHEALTHCARE",
"identifier": "603116",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0577845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "SF038269",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "713709",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.