NPIMap

Organization Active NPI

Simon Faynzilberg, MD, PC

  • Interventional Pain Medicine Physician
  • Newburyport, MA
National Provider Identifier
1346584646
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
160820 Issued in MA
Legal business name
SIMON FAYNZILBERG, MD, PC
Practice address
25 Highland Ave
Newburyport, MA 01950-3867
Phone
(978) 463-1000
NPI assigned
Nov 27, 2012
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Simon Faynzilberg, MDNPI 1417956418
Title
MD
Phone
(781) 407-7713

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
Interventional Pain Medicine Physician 208VP0014X 160820 MA Primary

Addresses

Primary practice location

25 Highland Ave
Newburyport, MA 01950-3867

Mailing address

157 Winthrop Rd
No 2
Brookline, MA 02445-4642
Phone (781) 944-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130219000298 MA Part B Supplier - Clinic/Group Practice 1850546078 Receives reassigned benefits from 7 practitioners
Practice locations: Newburyport, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1346584646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WINTHROP RD",
            "address_2": "NO 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454642",
            "telephone_number": "781-944-1200",
            "fax_number": "781-872-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503867",
            "telephone_number": "978-463-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON FAYNZILBERG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "FAYNZILBERG",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "781-407-7713",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "160820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.