Organization Active NPI

Anaesthesia Associates of Massachusetts, PC

Doing business as New England Pain Management Consultants

  • Anesthesiology Physician
  • Westwood, MA
National Provider Identifier
1568415289
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANAESTHESIA ASSOCIATES OF MASSACHUSETTS, PC
Doing business as
New England Pain Management Consultants
Practice address
690 Canton St
325
Westwood, MA 02090-2321
Phone
(781) 407-7713
Fax
(781) 407-0998
NPI assigned
May 17, 2006
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Mr. Robert D McIvor
Title
Coo
Phone
(781) 407-7713

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA Primary
Interventional Pain Medicine Physician 208VP0014X MA

Addresses

Primary practice location

690 Canton St
325
Westwood, MA 02090-2321

Mailing address

PO Box 414422
Boston, MA 02241-4422
Phone (781) 407-7713

Other identifiers 1

IdentifierTypeStateIssuer
9764674MedicaidMA

Other names 1

  • New England Pain Management Consultants Doing business as

National Provider Directory

National Provider Directory

Locations

200 Boylston St
Ste 301
Chestnut Hill, MA 02467
Phone (617) 543-0809

40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

840 Winter St
Ste 1
Waltham, MA 02451

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1568415289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414422",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414422",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAESTHESIA ASSOCIATES OF MASSACHUSETTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "MCIVOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "781-407-7713",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9764674",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Pain Management Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.