Organization Active NPI

Sudbury Neurology PLLC

  • Neurology Physician
  • Sudbury, MA
National Provider Identifier
1477347029
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SUDBURY NEUROLOGY PLLC
Practice address
144 North Rd Ste 2200
Sudbury, MA 01776-1174
Phone
(351) 228-4928
NPI assigned
Apr 8, 2025
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Jeffrey Hainsworth, DONPI 1013295716
Title
Practice Owner
Phone
(351) 228-4928

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
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

144 North Rd Ste 2200
Sudbury, MA 01776-1174

Mailing address

144 North Rd Ste 2200
Sudbury, MA 01776-1174
Phone (351) 228-4928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709000656 MA Part B Supplier - Clinic/Group Practice 4789198037 Receives reassigned benefits from 1 practitioner
Practice locations: Sudbury, MA

National Provider Directory

National Provider Directory

Locations

144 North Rd
Ste 2200
Sudbury, MA 01776
Phone (351) 228-4928

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1477347029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 NORTH RD STE 2200",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761174",
            "telephone_number": "351-228-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NORTH RD STE 2200",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761174",
            "telephone_number": "351-228-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDBURY NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "HAINSWORTH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "351-228-4928",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.