Organization Active NPI

Spine and Pain Institute of New England

  • Pain Medicine (Anesthesiology) Physician
  • Dedham, MA
National Provider Identifier
1730137589
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
698227OtherMATUFTS HEALTH PLAN
M18825OtherMABLUE CROSS/BLUE SHIELD
3642714OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040915000769 MA Part B Supplier - Clinic/Group Practice 8921075292 Receives reassigned benefits from 1 practitioner
Practice locations: Norwell, MA
O20060718000356 MA Part B Supplier - Clinic/Group Practice 8921075292 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norwell, MA; W Yarmouth, MA

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 Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.