Active NPI
Neurology & Rehabilitation, PC
- Neurology Physician
- Cambridge, MA
National Provider Identifier
1508036773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 210278
- Legal business name
- NEUROLOGY & REHABILITATION, PC
- Practice address
- 300 Mount Auburn St
Suite 316
Cambridge, MA 02138-5600 - Phone
- (617) 499-5104
- Fax
- (617) 499-5441
- NPI assigned
- Mar 4, 2008
- 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
- Katherine K Wang, M.D.
- Title
- President
- Phone
- (617) 499-5104
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 210278 | MA | Primary |
Addresses
Primary practice location
300 Mount Auburn St
Suite 316
Cambridge, MA 02138-5600
Mailing address
PO Box 9132
Brookline, MA 02446-9132
Phone (800) 927-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
300 Mount Auburn St
Ste 316
Cambridge, MA 02138
Phone (617) 868-0880
35 Bedford St
Ste 10
Lexington, MA 02420
Phone (617) 868-0880
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Cambridge, MA
- NPI 1912988486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204588800000",
"number": "1508036773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9132",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469132",
"telephone_number": "800-927-0002",
"fax_number": "603-893-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "SUITE 316",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385600",
"telephone_number": "617-499-5104",
"fax_number": "617-499-5441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY & REHABILITATION, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-04",
"last_updated": "2008-03-04",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-499-5104",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "210278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.