NPIMap

Organization Active NPI

Massachusetts Neuro Intervention P.C.

  • Specialist
  • Brookline, MA
National Provider Identifier
1699830778
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
77985 Issued in MA
Legal business name
MASSACHUSETTS NEURO INTERVENTION P.C.
Practice address
359 Kent St
Brookline, MA 02446-5443
Phone
(617) 734-2800
Fax
(617) 734-3900
NPI assigned
Dec 27, 2006
Last updated
Apr 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Ram V.S.R. Chavali, M.D.NPI 1558338194
Title
President
Phone
(617) 734-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 77985 MA Primary

Addresses

Primary practice location

359 Kent St
Brookline, MA 02446-5443

Mailing address

359 Kent St
Brookline, MA 02446-5443
Phone (617) 734-2800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1699830778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 KENT ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465443",
            "telephone_number": "617-734-2800",
            "fax_number": "617-734-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 KENT ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465443",
            "telephone_number": "617-734-2800",
            "fax_number": "617-734-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS NEURO INTERVENTION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "CHAVALI",
        "authorized_official_first_name": "RAM",
        "authorized_official_middle_name": "V.S.R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-734-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "77985",
            "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 Apr 16, 2012; 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.