Justin L Massengale (NPI# 1003096736, PAC ID# 2769537042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1003096736 |
| PAC ID by PECOS | 2769537042 |
| Professional Enrollment ID | I20090910000316 |
| Full Name | Justin L Massengale |
| Organization Legal Name | BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES INC |
| Address |
725 Albany St C Boston MA 02118-2526 |
| Phone Number | 6176388992 |
| Gender | M |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 7618876798 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220031 | BOSTON MEDICAL CENTER |
| 220111 | GOOD SAMARITAN MEDICAL CENTER |
| 220052 | SIGNATURE HEALTHCARE BROCKTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 6176388992 | BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES INC |
| 725 Albany St, C, Boston, MA 02118-2526 | 6176388992 | BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES INC |
| Organization Legal Name | BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oren Berkowitz | Physician Assistant | Boston University Neurosurgical Associates Inc | 725 Albany St C, Boston, MA 02118-2526 |
| Hormuzdiyar H. Dasenbrock | Neurosurgery | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| Jessie Jean Brown | Nurse Practitioner | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| Jesse O. Loiurio | Physician Assistant | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| Thai Q. Vu | Physician Assistant | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| Emanuela Binello | Neurosurgery | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| Lindsay E Hennessey | Nurse Practitioner | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| Pratik Rohatgi | Neurosurgery | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| Urvashi Upadhyay | Neurosurgery | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| James W Holsapple | Neurosurgery | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| Street Address |
725 ALBANY ST C |
| City | BOSTON |
| State | MA |
| Zip | 02118-2526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Michael Britt | Physician Assistant | Boston University Orthopaedic Surgical Associates Inc | 725 Albany St, Boston, MA 02118-2526 |
| David M Greer | Neurology | Boston University Neurology Associates Inc | 725 Albany St, Boston, MA 02118-3549 |
| Hormuzdiyar H. Dasenbrock | Neurosurgery | Boston University Neurosurgical Associates Inc | 725 Albany St, C, Boston, MA 02118-2526 |
| Abbas Haider Zaidi | Pediatric Medicine | Child Health Foundation of Boston Inc | 725 Albany St, Boston, MA 02118-2526 |
| Amelia Ohye Goff | Nurse Practitioner | Evans Medical Foundation Inc | 725 Albany St, Boston, MA 02118-2526 |
| Stanley Harris Ducharme Jr. | Psychologist, Clinical | 725 Albany St, 3b, Boston, MA 02118-2526 | |
| Manijeh Berenji | Preventative Medicine | Boston University Orthopaedic Surgical Associates Inc | 725 Albany St, Boston, MA 02118-2526 |
| Charlene J. Ong | Neurology | Boston University Neurology Associates Inc | 725 Albany St, Boston, MA 02118-3549 |
| Christine Engle | Nurse Practitioner | Evans Medical Foundation Inc | 725 Albany St, Boston, MA 02118-2526 |
| Paul Tornetta Iii | Orthopedic Surgery | Boston University Orthopaedic Surgical Associates Inc | 725 Albany St, Boston, MA 02118-2526 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Nentwich | Emergency Medicine | Boston Emergency Physician Foundation Inc | 1 Boston Med Ctre Pl, Boston, MA 02118 |
| Sancho Maulion | Physical Therapy | 801 B Tremont St, Boston, MA 02118-1054 | |
| Amanda Kate Turcotte | Optometry | L Martin Eye Incorporated | 681 Tremont St, Boston, MA 02118-1281 |
| Susan M Haskell | Clinical Social Worker | 135 W Concord St, Boston, MA 02118-1507 | |
| Sarah Stipho | Oral Surgery | Joseph P Nore Dds Inc | 586 Tremont St, Boston, MA 02118-1659 |
| T.lee Shostack | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Nichole T Daly | Registered Dietitian Or Nutrition Professional | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Deanne Dworski-riggs | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Maya Mauch | Family Medicine | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Glennon J O Grady | Family Medicine | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Find all physicians in zip 02118 | |||
| City | BOSTON |
| Zip Code | 02118 |
| Specialty | NEUROSURGERY |
| City + Specialty | BOSTON + NEUROSURGERY |
Please comment or provide details below to improve the information on Justin L Massengale.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.