Organization Active NPI

New England Heart Center, P.C.

  • Cardiovascular Disease Physician
  • Waltham, MA
National Provider Identifier
1699861054
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
32585 Issued in MA
Legal business name
NEW ENGLAND HEART CENTER, P.C.
Practice address
411 Waverley Oaks Rd
Suite 333
Waltham, MA 02452-8448
Phone
(781) 894-8858
Fax
(781) 894-8856
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Mr. Ahmed Mohiuddin, MDNPI 1518012251
Title
President
Phone
(781) 894-8858

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
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 32585 MA Primary

Addresses

Primary practice location

411 Waverley Oaks Rd
Suite 333
Waltham, MA 02452-8448

Mailing address

411 Waverley Oaks Rd
Suite 333
Waltham, MA 02452-8448
Phone (781) 894-8858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080811000025 MA Part B Supplier - Clinic/Group Practice 5395819296 Receives reassigned benefits from 1 practitioner
Practice locations: Dedham, MA

National Provider Directory

National Provider Directory

Locations

619 High St
Ste 102
Dedham, MA 02026
Phone (617) 738-7300

411 Waverley Oaks Rd
#333
Waltham, MA 02452
Phone (781) 894-8858

465 Waverly Oaks Rd
Ste 415
Waltham, MA 02452
Phone (781) 894-8858

411 Waverley Oaks Rd
Ste 333
Waltham, MA 02452
Phone (781) 894-8858

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1699861054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WAVERLEY OAKS RD",
            "address_2": "SUITE 333",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528448",
            "telephone_number": "781-894-8858",
            "fax_number": "781-894-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WAVERLEY OAKS RD",
            "address_2": "SUITE 333",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528448",
            "telephone_number": "781-894-8858",
            "fax_number": "781-894-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND HEART CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-894-8858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "32585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

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