NPIMap

Organization Active NPI

Angels Neurological Centers PC

  • Neurology Physician
  • Abington, MA
National Provider Identifier
1821027079
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ANGELS NEUROLOGICAL CENTERS PC
Practice address
536 Washington St
Abington, MA 02351
Phone
(781) 871-3773
NPI assigned
Jul 1, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Mazen Eneyni, M.D.NPI 1326012766
Title
Ceo
Phone
(781) 871-3773

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
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

536 Washington St
Abington, MA 02351

Mailing address

536 Washington St
Abington, MA 02351-2424
Phone (781) 871-3773

Other identifiers 5

IdentifierTypeStateIssuer
9703471MedicaidMA
CJ3125OtherMARAIL ROAD MEDICARE
0017502OtherMANEIGHBORHOOD HEALTH
682001OtherMATUFTS
M17308OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000558 MA Part B Supplier - Clinic/Group Practice 5193622389 Receives reassigned benefits from 27 practitioners
Practice locations: Abington, MA; Norwood, MA; Somerset, MA; Taunton, MA

National Provider Directory

National Provider Directory

Locations

77 Access Rd
Ste 2
Norwood, MA 02062
Phone (781) 871-3773

144 Dean St
Taunton, MA 02780
Phone (508) 828-1212

152 Dean St
Ste 11
Taunton, MA 02780
Phone (781) 871-3773

305 Broadway
Taunton, MA 02780
Phone (781) 871-3773

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1821027079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 WASHINGTON ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023512424",
            "telephone_number": "781-871-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 WASHINGTON ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "02351",
            "telephone_number": "781-871-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS NEUROLOGICAL CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "ENEYNI",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-871-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9703471",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CJ3125",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0017502",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "682001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17308",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.