NPIMap

Organization Active NPI

Southern New England Radiology Inc

  • Diagnostic Radiology Physician
  • Fall River, MA
National Provider Identifier
1730559444
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SOUTHERN NEW ENGLAND RADIOLOGY INC
Practice address
363 Highland Ave
Fall River, MA 02720-3703
Phone
(508) 973-7581
NPI assigned
Oct 7, 2015
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Daniel A Weller, MDNPI 1356517296
Title
President
Phone
(508) 973-7581

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
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

363 Highland Ave
Fall River, MA 02720-3703

Mailing address

1342 Belmont St Ste 205
Brockton, MA 02301-4438
Phone (508) 973-7581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160226001497 MA Part B Supplier - Clinic/Group Practice 9931404084 Receives reassigned benefits from 27 practitioners
Practice locations: New Bedford, MA; North Dartmouth, MA; Rochester, MA; Seekonk, MA; Sharon, MA; Fall River, MA; Shrewsbury, MA; Swansea, MA…
O20170221001451 RI Part B Supplier - Clinic/Group Practice 9931404084 Receives reassigned benefits from 24 practitioners
Practice locations: Warwick, RI; Warren, RI; Providence, RI; Portsmouth, RI; Newport, RI; Barrington, RI; Middletown, RI

National Provider Directory

National Provider Directory

Locations

450 William S Canning Blvd
Fall River, MA 02721
Phone (508) 973-0250

300A Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2213

479 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 672-5300

772 County St
#1
Taunton, MA 02780
Phone (508) 992-6553

2421 Cranberry Hwy
Ste 302
Wareham, MA 02571
Phone (508) 973-4138

827 American Legion Hwy
Ste 1
Westport, MA 02790
Phone (508) 973-1540

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1730559444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 BELMONT ST STE 205",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014438",
            "telephone_number": "508-973-7581",
            "fax_number": "508-961-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 HIGHLAND AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203703",
            "telephone_number": "508-973-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW ENGLAND RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-973-7581",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.