| Angels Neurological Centers Pc | |
|
536 Washington St Abington MA 02351 | |
| (781) 871-3773 | |
| Not Available |
| Full Name | Angels Neurological Centers Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 536 Washington St, Abington, Massachusetts |
| Authorized Official Name and Position | Mazen Eneyni (CEO) |
| Authorized Official Contact | 7818713773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angels Neurological Centers Pc 536 Washington St Abington MA 02351-2424 Ph: (781) 871-3773 | Angels Neurological Centers Pc 536 Washington St Abington MA 02351 Ph: (781) 871-3773 |
| NPI Number | 1821027079 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 5193622389 |
|---|---|
| Medicare Enrollment ID | O20031216000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821027079 | NPI | - | NPPES |
| CJ3125 | Other | MA | RAIL ROAD MEDICARE |
| 0017502 | Other | MA | NEIGHBORHOOD HEALTH |
| 682001 | Other | MA | TUFTS |
| 9703471 | Medicaid | MA | |
| M17308 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Barbara Maselunas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538128392 PECOS PAC ID: 8820055403 Enrollment ID: I20041215000439 |
| Provider Name | Mazen Eneyni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326012766 PECOS PAC ID: 2365349552 Enrollment ID: I20050315000126 |
| Provider Name | Linda Kampf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467484949 PECOS PAC ID: 8729001995 Enrollment ID: I20060113000435 |
| Provider Name | Karen A Lewandowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215018924 PECOS PAC ID: 2365500782 Enrollment ID: I20081028000837 |
| Provider Name | Laura J Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467768903 PECOS PAC ID: 0648467266 Enrollment ID: I20101208001211 |
| Provider Name | Frederick K Nahm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548242647 PECOS PAC ID: 3971582008 Enrollment ID: I20110413000060 |
| Provider Name | Steven A Greenberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114992831 PECOS PAC ID: 5395923866 Enrollment ID: I20110705000174 |
| Provider Name | Marisa A Fellini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699055707 PECOS PAC ID: 0345413415 Enrollment ID: I20111105000088 |
| Provider Name | Jordan D Paulson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619101136 PECOS PAC ID: 1759523913 Enrollment ID: I20130819000068 |
| Provider Name | Mary Boyum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366875742 PECOS PAC ID: 1153555610 Enrollment ID: I20131016001250 |
| Provider Name | Oscar G Bernal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417908021 PECOS PAC ID: 1254379274 Enrollment ID: I20140221001063 |
| Provider Name | Karen Oneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659776144 PECOS PAC ID: 0345564167 Enrollment ID: I20150126001452 |
| Provider Name | Kayla A Furr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407247281 PECOS PAC ID: 0345568101 Enrollment ID: I20150408001010 |
| Provider Name | Kester Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225357338 PECOS PAC ID: 5193044154 Enrollment ID: I20150425000131 |
| Provider Name | Hieu T Tieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942676259 PECOS PAC ID: 5890004469 Enrollment ID: I20151021002388 |
| Provider Name | Nancy Yee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255701264 PECOS PAC ID: 4981904083 Enrollment ID: I20151120002472 |
| Provider Name | Mario C Corpuz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649529033 PECOS PAC ID: 2163714379 Enrollment ID: I20160708001155 |
| Provider Name | Kevin R Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194013623 PECOS PAC ID: 1153617550 Enrollment ID: I20160912001413 |
| Provider Name | Bridget M Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730547761 PECOS PAC ID: 2961780713 Enrollment ID: I20161028001051 |
| Provider Name | Nirphemy Dambreville Lundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962943522 PECOS PAC ID: 2961788740 Enrollment ID: I20170410001460 |
| Provider Name | Ozaire A Awais |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932467040 PECOS PAC ID: 9133428402 Enrollment ID: I20170417001139 |
| Provider Name | Kami Converse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851838270 PECOS PAC ID: 7911273933 Enrollment ID: I20171019000113 |
| Provider Name | Ruth G Mburu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295064624 PECOS PAC ID: 7214295393 Enrollment ID: I20171219000796 |
| Provider Name | Ugomma Onyeukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154829752 PECOS PAC ID: 3375881006 Enrollment ID: I20190205001541 |
| Provider Name | Karen L Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487610606 PECOS PAC ID: 4587731450 Enrollment ID: I20190806002283 |
| Provider Name | Alisa Shaulskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013407147 PECOS PAC ID: 7214266147 Enrollment ID: I20190903000465 |
| Provider Name | Kristen Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942974076 PECOS PAC ID: 6103224274 Enrollment ID: I20211005001482 |
| Provider Name | Jenny Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871228080 PECOS PAC ID: 4688042468 Enrollment ID: I20221129001523 |
| Provider Name | Samantha Dessert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962121889 PECOS PAC ID: 6103298252 Enrollment ID: I20230217002134 |
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