Newton Wellesley Interventional Spine LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

217195 Issued in MA

Legal business name

NEWTON WELLESLEY INTERVENTIONAL SPINE LLC

Practice address

378 Washington St
Wellesley, MA 02481-6207

Phone

(781) 489-5541

Fax

(781) 489-5340

NPI assigned

Aug 14, 2013

Last updated

Jan 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Omar Hammam El Abd, M.D.NPI 1831189364

Title

Owner

Phone

(781) 308-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: crossman.tracey.nwins@direct.partners.masshiway.net
• Direct secure messaging: elabd.omar.nwins@direct.partners.masshiway.net
• Direct secure messaging: gomba.lorraine.nwins@direct.partners.masshiway.net

Practitioners 4

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.

• Omar Hammam El Abd, MD

  • Interventional Pain Medicine Physician
  • Wellesley, MA
  • NPI 1831189364
  Medicare reassignment Care Compare group NPD Authorized official
• Lorraine A Gomba, MD

  • Physical Medicine & Rehabilitation Physician
  • Dedham, MA
  • NPI 1265439822
  Medicare reassignment Care Compare group NPD
• Arthur J Lee, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wellesley, MA
  • NPI 1720109689
  Medicare reassignment Care Compare group NPD
• Tracey Crossman, PA

  • Physical Medicine & Rehabilitation Physician
  • Wellesley, MA
  • NPI 1154890002
  Medicare reassignment

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1881027746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816207",
            "telephone_number": "781-489-5541",
            "fax_number": "781-489-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816207",
            "telephone_number": "781-489-5541",
            "fax_number": "781-489-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON WELLESLEY INTERVENTIONAL SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "EL ABD",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "HAMMAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-308-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "217195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New England Medicine, PLLC (New England Medicine Direct Primary Care)
• Newton Wellesley Ambulatory Services (Newton-Wellesley Sports Medicine DME)
• Newton Wellesley Dental Group
• Newton Wellesley Dermatology Associates
• Newton Wellesley Eye Associates, P.C.
• Newton Wellesley Primary Care P C
• Newton-Wellesley Orthopedics Physical Therapy PC
• Newton-Wellesley Psychiatry
• David Allen Newton, DC
• Newtoneye PC

• Medical Specialty Clinic/Center in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Medical Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.