NPIMap

Organization Active NPI

Angels Neurological Centers, P.C.

  • Neurology Physician
  • Abington, MA
National Provider Identifier
1861779134
Registry record updated Jan 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ANGELS NEUROLOGICAL CENTERS, P.C.
Practice address
536 Washington St
Abington, MA 02351-2465
Phone
(781) 871-3773
Fax
(781) 871-3771
NPI assigned
Nov 14, 2011
Last updated
Jan 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2015

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

Authorized official

Name
Dr. Mazen Eneyni, MDNPI 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 Primary

Addresses

Primary practice location

536 Washington St
Abington, MA 02351-2465

Mailing address

536 Washington St
Abington, MA 02351-2465
Phone (781) 871-3773

Other identifiers 2

IdentifierTypeStateIssuer
M17308OtherMABLUE CROSS BLUE SHIELD
110067236AMedicaidMA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIHHBD

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420243200000",
    "number": "1861779134",
    "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": "023512465",
            "telephone_number": "781-871-3773",
            "fax_number": "781-871-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 WASHINGTON ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023512465",
            "telephone_number": "781-871-3773",
            "fax_number": "781-871-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS NEUROLOGICAL CENTERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2015-01-03",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M17308",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110067236A",
            "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 Jan 3, 2015; 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.