Neurosync Medical Group (NJ), P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROSYNC MEDICAL GROUP (NJ), P.C.

Practice address

118 Washington St
Holliston, MA 01746

Phone

(855) 455-4500

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Gary Gregory

Title

Secretary

Phone

(508) 397-8885

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1598547960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "01746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "01746",
            "telephone_number": "855-455-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSYNC MEDICAL GROUP (NJ), P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "508-397-8885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flavia Maione Moreira
• Rebecca N Morgan, LICSW
• Ashley Nicole Mulvaney, CCC-SLP
• Dana Kimberly Neitzel, MS, CGC
• Neurosync Medical Group (Il), S.C.
• New England Post-Acute Medical Group PLLC
• New England Therapy Associates, LLC
• Heather Nguyen, DMD
• Sandra Bryant Niedzwiecki, M.S.W.
• Keri Norris

• Neurology Physician in Holliston, MA
• Providers in Holliston, MA by specialty
• Neurology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.