Organization Active NPI

New England Spine and Rehab, PC

  • Pain Medicine (Anesthesiology) Physician
  • Brookline, MA
National Provider Identifier
1508286147
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
253888 Issued in MA
Legal business name
NEW ENGLAND SPINE AND REHAB, PC
Practice address
33 Pond Ave
Ste-1204
Brookline, MA 02445-7163
Phone
(413) 471-4362
Fax
(617) 898-0909
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Dr. Michael Semenovski, MD
Title
President
Phone
(413) 471-4362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 253888 MA Primary

Addresses

Primary practice location

33 Pond Ave
Ste-1204
Brookline, MA 02445-7163

Mailing address

33 Pond Ave
Ste-1204
Brookline, MA 02445-7163
Phone (413) 471-4362

National Provider Directory

National Provider Directory

Locations

80 Congress St
Ste 107
Springfield, MA 01104
Phone (413) 994-9222

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1508286147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 POND AVE",
            "address_2": "STE-1204",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457163",
            "telephone_number": "413-471-4362",
            "fax_number": "617-898-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 POND AVE",
            "address_2": "STE-1204",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457163",
            "telephone_number": "413-471-4362",
            "fax_number": "617-898-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND SPINE AND REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "SEMENOVSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-471-4362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "253888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.