Organization Active NPI

Neurocare, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Brockton, MA
National Provider Identifier
1538286703
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
NEUROCARE, INC.
Practice address
22 Christy Dr
Brockton, MA 02301-1839
Phone
(617) 796-7766
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Mr. Bill Mayer
Title
Corporate Director of Finance
Phone
(617) 796-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

22 Christy Dr
Brockton, MA 02301-1839

Mailing address

70 Wells Ave
Newton, MA 02459-3210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000302 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2365490034 Practice locations: Brockton, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Neurocare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Cummings Ctr
Ste 120D
Beverly, MA 01915

22 Christy Dr
Brockton, MA 02301
Phone (508) 580-4611

133 Old Road To 9 Acre Cor
Ste 880
Concord, MA 01742

1153 Centre St
Ste 5M
Jamaica Plain, MA 02130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1538286703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WELLS AVE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024593210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011839",
            "telephone_number": "617-796-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "617-796-7766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.