NPIMap

Organization Active NPI

New England Pain Associates

  • Pain Medicine (Anesthesiology) Physician
  • Concord, MA
National Provider Identifier
1861655227
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NEW ENGLAND PAIN ASSOCIATES
Practice address
747 Main St
Ste. 205
Concord, MA 01742-3302
Phone
(978) 371-0900
Fax
(978) 371-0915
NPI assigned
Jul 7, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Fathalla Mashali, MD
Title
President
Phone
(401) 490-2130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

747 Main St
Ste. 205
Concord, MA 01742-3302

Mailing address

747 Main St
Suite 201
Concord, MA 01742
Phone (978) 371-0900

Other identifiers 2

IdentifierTypeStateIssuer
M18990OtherMABCBS
9751921MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
New England Pain Associates PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

747 Main St
Ste 205
Concord, MA 01742
Phone (978) 369-7070

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1861655227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MAIN ST",
            "address_2": "SUITE 201",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-371-0900",
            "fax_number": "978-371-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MAIN ST",
            "address_2": "STE. 205",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423302",
            "telephone_number": "978-371-0900",
            "fax_number": "978-371-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND PAIN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MASHALI",
        "authorized_official_first_name": "FATHALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-490-2130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18990",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9751921",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.