Active NPI
Baystate Interventional Pain Physicians
- Pain Medicine (Anesthesiology) Physician
- West Bridgewater, MA
National Provider Identifier
1972193720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- BAYSTATE INTERVENTIONAL PAIN PHYSICIANS
- Practice address
- 22 Pleasant St # 2N
West Bridgewater, MA 02379-1506 - Phone
- (508) 436-2555
- NPI assigned
- Jan 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sherif Algendy, MD
- Title
- MD
- Phone
- (508) 436-2555
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
22 Pleasant St # 2N
West Bridgewater, MA 02379-1506
Mailing address
22 Pleasant St # 2N
West Bridgewater, MA 02379-1506
Phone (508) 436-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245293349 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Computer |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- West Bridgewater, MA
- NPI 1245293349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611532800000",
"number": "1972193720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PLEASANT ST # 2N",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791506",
"telephone_number": "508-436-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PLEASANT ST # 2N",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791506",
"telephone_number": "508-436-2555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYSTATE INTERVENTIONAL PAIN PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-25",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A",
"authorized_official_last_name": "ALGENDY",
"authorized_official_first_name": "SHERIF",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "508-436-2555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245293349",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Computer",
"affiliation": "N",
"address_1": "22 Pleasant St # 2N",
"city": "West Bridgewater",
"state": "MA",
"country_code": "US",
"postal_code": "023791506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.