Organization Active NPI

Mohammad D Nassery MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Hyannis, MA
National Provider Identifier
1801082722
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
158445 Issued in MA
Legal business name
MOHAMMAD D NASSERY MD
Practice address
407 North St
Hyannis, MA 02601-5121
Phone
(508) 790-5777
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Sheila Souza
Title
Billing Agent
Phone
(508) 548-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X 158445 MA Primary

Addresses

Primary practice location

407 North St
Hyannis, MA 02601-5121

Mailing address

PO Box 905
Falmouth, MA 02541-0905

National Provider Directory

National Provider Directory

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1801082722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025410905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 NORTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015121",
            "telephone_number": "508-790-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD D NASSERY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "508-548-8989"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MA",
            "license": "158445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.