Organization Active NPI

Surgical Neurology, Inc.

  • Specialist
  • Newton, MA
National Provider Identifier
1508077470
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33073 Issued in MA
Legal business name
SURGICAL NEUROLOGY, INC.
Practice address
2000 Washington St
Suite 220
Newton, MA 02462-1650
Phone
(617) 964-0545
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Herbert L Cares, M.D.
Title
President
Phone
(617) 964-0545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 33073 MA Primary

Addresses

Primary practice location

2000 Washington St
Suite 220
Newton, MA 02462-1650

Mailing address

2000 Washington St
Suite 220
Newton, MA 02462-1650
Phone (617) 964-0545

Other identifiers 1

IdentifierTypeStateIssuer
9716882MedicaidMA

National Provider Directory

National Provider Directory

Locations

2000 Washington St
Ste 220
Newton, MA 02462
Phone (617) 964-0545

Interoperability endpoints

  • Direct secure messaging: cares.herbert.hlcmd@direct.partners.masshiway.net

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508077470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 220",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-964-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 220",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-964-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL NEUROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARES",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-964-0545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "33073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9716882",
            "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 Aug 22, 2020; 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.