P N Chervin MD Neurology LLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

P N CHERVIN MD NEUROLOGY LLC

Practice address

604 Main St
Woburn, MA 01801-7123

Phone

(781) 935-3710

Fax

(781) 935-3410

NPI assigned

Mar 17, 2022

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul N Chervin, MDNPI 1396737714

Title

Sole MBR

Phone

(781) 935-3710

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Paul N Chervin, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Woburn, MA
  • NPI 1396737714
  Authorized official Same address or phone
• Albert L Fullerton, MD

  • Neurology Physician
  • Woburn, MA
  • NPI 1205822905
  NPD

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1407504509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017123",
            "telephone_number": "781-935-3710",
            "fax_number": "781-935-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017123",
            "telephone_number": "781-935-3710",
            "fax_number": "781-935-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P N CHERVIN MD NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "CHERVIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "781-935-3710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Ouellette, PT, DPT
• Ellen Oven
• Omobolaji G Oyinlola
• Julie Ozek
• Ayca Deniz Ozel, M.D.
• Sandeep Kaur Pabla
• Luis Pacheco
• Alexander Pacy
• Tammy Pacyna, LICSW
• Martha Painter, LICSW

• Neurology with Special Qualifications in Child Neurology Physician in Woburn, MA
• Providers in Woburn, MA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.