Active NPI
Spine and Pain Institute of New England
- Pain Medicine (Anesthesiology) Physician
- Dedham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- SPINE AND PAIN INSTITUTE OF NEW ENGLAND
- Practice address
- 80 Bridge St
Suite 106
Dedham, MA 02026-1765 - Phone
- (781) 326-8888
- NPI assigned
- May 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Barna
- Title
- Administrator
- Phone
- (781) 326-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
80 Bridge St
Suite 106
Dedham, MA 02026-1765
Mailing address
PO Box 2190
West Peabody, MA 01960-7190
Phone (781) 231-7026
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 698227 | Other | MA | TUFTS HEALTH PLAN |
| M18825 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 3642714 | Other | MA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
606 Providence Hwy
Dedham, MA 02026
Phone (857) 444-1010
10 E Main St
Fl 2
West Yarmouth, MA 02673
Phone (508) 778-2400
10 E Main St
West Yarmouth, MA 02673
Phone (508) 771-6305
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEFICA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Dedham, MA
- NPI 1265648745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730137589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2190",
"city": "WEST PEABODY",
"state": "MA",
"postal_code": "019607190",
"telephone_number": "781-231-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BRIDGE ST",
"address_2": "SUITE 106",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020261765",
"telephone_number": "781-326-8888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE AND PAIN INSTITUTE OF NEW ENGLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARNA",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "781-326-8888"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "698227",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "M18825",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3642714",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.