Healthcare Provider Details

I. General information

NPI: 1902895857
Provider Name (Legal Business Name): LOUIS NEMSER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 GREAT PLAIN AVE
NEEDHAM MA
02492-2561
US

IV. Provider business mailing address

992 GREAT PLAIN AVE
NEEDHAM MA
02492-2561
US

V. Phone/Fax

Practice location:
  • Phone: 781-433-0225
  • Fax:
Mailing address:
  • Phone: 781-433-0225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number204082
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number4304043086
License Number StateMI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: