Organization Active NPI

Neuroendocrine Associates P.C.

  • Specialist
  • Wellesley, MA
National Provider Identifier
1790944643
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
37857 Issued in MA
Legal business name
NEUROENDOCRINE ASSOCIATES P.C.
Practice address
422 Worcester St
Suite 303
Wellesley, MA 02481-5341
Phone
(781) 431-0277
Fax
(781) 431-0274
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Andrew G. Herzog, M.D.
Title
President
Phone
(781) 431-0277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 37857 MA Primary

Addresses

Primary practice location

422 Worcester St
Suite 303
Wellesley, MA 02481-5341

Mailing address

422 Worcester St
Suite 303
Wellesley, MA 02481-5341
Phone (781) 431-0277

National Provider Directory

National Provider Directory

Locations

422 Worcester St
Ste 303
Wellesley Hills, MA 02481
Phone (781) 431-0277

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1790944643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "address_2": "SUITE 303",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-431-0277",
            "fax_number": "781-431-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "address_2": "SUITE 303",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-431-0277",
            "fax_number": "781-431-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROENDOCRINE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-431-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "37857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.