Individual provider Active NPI

Arthur Paul Safran, MD

  • Neurology Physician
  • Newton, MA
National Provider Identifier
1578653804
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
27660 Issued in MA
Practice address
12 Ivanhoe St
Newton, MA 02458-2716
Phone
(617) 969-6907
Fax
(617) 969-7658
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 27660 MA Primary

Addresses

Primary practice location

12 Ivanhoe St
Newton, MA 02458-2716

Mailing address

12 Ivanhoe St
Newton, MA 02458-2716
Phone (617) 969-6907

Other identifiers 1

IdentifierTypeStateIssuer
0176478MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27660MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Services, P.C. Neurology Past Accepting new patients
Neurological Services, P.C. Neurology Past Accepting new patients
Caritas St. Elizabeth's Medical Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578653804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 IVANHOE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582716",
            "telephone_number": "617-969-6907",
            "fax_number": "617-969-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 IVANHOE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582716",
            "telephone_number": "617-969-6907",
            "fax_number": "617-969-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRAN",
        "first_name": "ARTHUR",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "27660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176478",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.