RANDY J AVERBACK (NPI# 1417995721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417995721 |
| Entity Type | Individual |
| Full Name | RANDY J AVERBACK |
| Credential | M.D. |
| Practice Address |
500 Ward St Newton MA 02459-1136 |
| Practice Telephone | 7814535238 |
| Mailing Telephone | 7814535238 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
57367 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
500 WARD ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02459-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843912 | Nancy Smith | Social Worker | 504 Ward St, Newton, MA 02459 | 2018-09-03 |
| 1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
| 1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1073944294 | Aviva Care | In Home Supportive Care | 30 Bontempo Rd, Newton, MA 02459 | 2013-12-13 |
| 1609142017 | Boston Center for Memory, Inc | Psychiatry & Neurology | 180 Wells Ave., Suite 304, Newton, MA 02459 | 2012-03-29 |
| 1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
| 1437433216 | Micah Walsh Adams | Social Worker | 32 Union St. Suite 3, Newton, MA 02459 | 2011-09-28 |
| 1245532746 | Rochelle Eve Goldin | Occupational Therapist | 333 Nahanton Street, Newton, MA 02459 | 2010-12-03 |
| 1609177302 | Ellen Gail Forst | Speech-Language Pathologist | 333 Nahunton Street, Newton, MA 02459 | 2010-11-11 |
| Find all providers in zip 02459 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639212038 | Arthur A Sasahara | Internal Medicine | The Courtyard #12, 1115 Beacon Street, Newton, MA 02461 | 2007-02-15 |
| 1790759561 | David S Buyer | Internal Medicine | 222 High St Ste 205, Newton, NJ 07860-9605 | 2006-02-16 |
| 1902068612 | Scott Schwarz | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9604 | 2008-06-25 |
| 1104951474 | Newton Wellesley Cardiologists, P.C. | Internal Medicine | 2000 Washington St, Newton, MA 02462-1650 | 2007-02-23 |
| 1588723712 | Stefanos Parpos | Internal Medicine | 2000 Washington St, Suite 562, Green, Newton, MA 02462-1650 | 2006-12-06 |
| 1730139619 | Robert L. Masci | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9612 | 2006-05-11 |
| 1366492159 | Paul J. Owens | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9612 | 2006-05-11 |
| 1104875772 | Richard C. Redline | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9612 | 2006-05-09 |
| 1679522429 | Cardiology Associates of Sussex County, LLP | Internal Medicine | 222 High St, Suite 205, Newton, NJ 07860-9612 | 2006-05-09 |
| 1720050586 | James Wingate Todd | Internal Medicine | 2000 Washington St, Suite 403, Newton, MA 02462-1650 | 2006-02-06 |
| Find all providers in NEWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.