| Boston University Neurology Associates, Inc. | |
|
725 Albany St, Suite 7b Shapiro Bldg Boston MA 02118-2526 | |
| (617) 638-8456 | |
| (617) 638-8465 |
| Full Name | Boston University Neurology Associates, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 725 Albany St, Suite 7b, Boston, Massachusetts |
| Authorized Official Name and Position | David M Greer (PRESIDENT) |
| Authorized Official Contact | 6176385102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston University Neurology Associates, Inc. 960 Massachusetts Ave Fl 2 Boston MA 02118-2690 Ph: () - | Boston University Neurology Associates, Inc. 725 Albany St, Suite 7b Shapiro Bldg Boston MA 02118-2526 Ph: (617) 638-8456 |
| NPI Number | 1528005436 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 6608772462 |
|---|---|
| Medicare Enrollment ID | O20031211000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528005436 | NPI | - | NPPES |
| 110072709A | Medicaid | MA | |
| 3114884 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Peter Siao-tick-chong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548238967 PECOS PAC ID: 7719977982 Enrollment ID: I20040518000737 |
| Provider Name | David M Greer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003807215 PECOS PAC ID: 7416931837 Enrollment ID: I20040615000237 |
| Provider Name | Maxine H Krengel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538121686 PECOS PAC ID: 5991763906 Enrollment ID: I20041222000277 |
| Provider Name | Viken L Babikian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013979277 PECOS PAC ID: 4880631175 Enrollment ID: I20050408000074 |
| Provider Name | Douglas I Katz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205899846 PECOS PAC ID: 1254378524 Enrollment ID: I20050408000801 |
| Provider Name | William A Tosches |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841390952 PECOS PAC ID: 2466491675 Enrollment ID: I20050428000747 |
| Provider Name | Steven K Feske |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720045123 PECOS PAC ID: 7315980224 Enrollment ID: I20050602000127 |
| Provider Name | Marie-helene Saint-hilaire |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245293851 PECOS PAC ID: 1658315809 Enrollment ID: I20050617000567 |
| Provider Name | Sanford H Auerbach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730141326 PECOS PAC ID: 9032142088 Enrollment ID: I20050912000520 |
| Provider Name | Robert A. Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861450546 PECOS PAC ID: 3870489305 Enrollment ID: I20051005001028 |
| Provider Name | Jose R Romero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548228935 PECOS PAC ID: 9931105483 Enrollment ID: I20061006000144 |
| Provider Name | Natalia Sedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750466702 PECOS PAC ID: 0840280038 Enrollment ID: I20070221000356 |
| Provider Name | Bradford B Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245399609 PECOS PAC ID: 1052419298 Enrollment ID: I20070612000082 |
| Provider Name | Andrew D Norden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497737456 PECOS PAC ID: 1951400787 Enrollment ID: I20070620000207 |
| Provider Name | Michael D Perloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568637981 PECOS PAC ID: 5698953099 Enrollment ID: I20110708000062 |
| Provider Name | Kerin Anne Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356624217 PECOS PAC ID: 8628242443 Enrollment ID: I20111114000147 |
| Provider Name | Katherine Reyad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922447093 PECOS PAC ID: 3577706282 Enrollment ID: I20130828000578 |
| Provider Name | Jesse B. Mez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629112073 PECOS PAC ID: 0941443279 Enrollment ID: I20130905000306 |
| Provider Name | Anna M. Cervantes-arslanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548433030 PECOS PAC ID: 8123262334 Enrollment ID: I20130910000054 |
| Provider Name | Maria Stefanidou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104091107 PECOS PAC ID: 7315181153 Enrollment ID: I20130918000439 |
| Provider Name | Thomas R Mayo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386955144 PECOS PAC ID: 4284851668 Enrollment ID: I20140807001973 |
| Provider Name | Emily Kathleen Sweetra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215335492 PECOS PAC ID: 5698092625 Enrollment ID: I20150331001971 |
| Provider Name | Hugo J. Aparicio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245468636 PECOS PAC ID: 1951533637 Enrollment ID: I20150727000117 |
| Provider Name | Ika Noviawaty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265675292 PECOS PAC ID: 3375847890 Enrollment ID: I20160203002159 |
| Provider Name | David Y Chung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871819094 PECOS PAC ID: 3870710197 Enrollment ID: I20161121001887 |
| Provider Name | Brigid Caitlin Dwyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215236476 PECOS PAC ID: 8729210893 Enrollment ID: I20161122000281 |
| Provider Name | Tory Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669920179 PECOS PAC ID: 6002193893 Enrollment ID: I20170504000068 |
| Provider Name | Julie Shulman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316200355 PECOS PAC ID: 1355573478 Enrollment ID: I20170725002194 |
| Provider Name | Charlene J. Ong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063775013 PECOS PAC ID: 1153550355 Enrollment ID: I20180524000543 |
| Provider Name | Jennifer Becklehimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124501853 PECOS PAC ID: 2264785229 Enrollment ID: I20181022002994 |
| Provider Name | Michael L Alosco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508333832 PECOS PAC ID: 9335484088 Enrollment ID: I20181227001164 |
| Provider Name | Katie M. Mcmillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790214278 PECOS PAC ID: 2567701030 Enrollment ID: I20190227001787 |
| Provider Name | Adela Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093287047 PECOS PAC ID: 5193064582 Enrollment ID: I20190301000629 |
| Provider Name | Pria Anand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093135048 PECOS PAC ID: 6406079995 Enrollment ID: I20190624000608 |
| Provider Name | Abrar O. Al-faraj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295177830 PECOS PAC ID: 0840599114 Enrollment ID: I20190731004108 |
| Provider Name | Myriam Abdennadher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407290133 PECOS PAC ID: 9032446331 Enrollment ID: I20190808003739 |
| Provider Name | Rita Marie Tarabelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225599608 PECOS PAC ID: 8325378615 Enrollment ID: I20190930002384 |
| Provider Name | Ali Daneshmand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619316650 PECOS PAC ID: 9436448289 Enrollment ID: I20191007000977 |
| Provider Name | Emily Lyle Cournoyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211403 PECOS PAC ID: 1759613029 Enrollment ID: I20191106001317 |
| Provider Name | Ariel Marks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962899906 PECOS PAC ID: 5991012452 Enrollment ID: I20200731002229 |
| Provider Name | Katelyn C. K. Bird |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912391491 PECOS PAC ID: 2769797497 Enrollment ID: I20200807001619 |
| Provider Name | Konstantin Balashov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083789556 PECOS PAC ID: 7911940051 Enrollment ID: I20201124001189 |
| Provider Name | Sunali Shah |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659735330 PECOS PAC ID: 1951696483 Enrollment ID: I20210629001864 |
| Provider Name | Alexis V Cushman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376218412 PECOS PAC ID: 1052701091 Enrollment ID: I20211206000942 |
| Provider Name | Jason James Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629538889 PECOS PAC ID: 5092101527 Enrollment ID: I20220408000792 |
| Provider Name | Kristin Ann Conneely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487325080 PECOS PAC ID: 1254719735 Enrollment ID: I20220613001719 |
| Provider Name | Shameka Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295320943 PECOS PAC ID: 9830567890 Enrollment ID: I20221122002593 |
| Provider Name | Minna Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659080828 PECOS PAC ID: 1759751670 Enrollment ID: I20230110001016 |
| Provider Name | Padmapriya Badri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518678853 PECOS PAC ID: 4385015296 Enrollment ID: I20230131002635 |
| Provider Name | Bianca Evelyn Carson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033646575 PECOS PAC ID: 0941603724 Enrollment ID: I20230314002230 |
| Provider Name | Alexander D Rae-grant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811083066 PECOS PAC ID: 9638066327 Enrollment ID: I20230620003039 |
| Provider Name | Steve Choongheon Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912495813 PECOS PAC ID: 6103165535 Enrollment ID: I20230724001302 |
| Provider Name | Steven Lenio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477084713 PECOS PAC ID: 0648543124 Enrollment ID: I20230814002924 |
| Provider Name | Deandrea A King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538663539 PECOS PAC ID: 1052660248 Enrollment ID: I20230823001948 |
| Provider Name | Gina Marie Vantangoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427731827 PECOS PAC ID: 3971957796 Enrollment ID: I20230928000166 |
| Provider Name | Denise Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346917366 PECOS PAC ID: 8022496413 Enrollment ID: I20231011001478 |
| Provider Name | Caroline Sibel Altaras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942890736 PECOS PAC ID: 5799132049 Enrollment ID: I20231108003212 |
| Provider Name | Stacy Jill Osterhoudt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215628664 PECOS PAC ID: 9931556164 Enrollment ID: I20231109002888 |
| Provider Name | Monica Tam Ly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295410157 PECOS PAC ID: 8820447071 Enrollment ID: I20231213000610 |
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