Healthcare Provider Details

I. General information

NPI: 1215521091
Provider Name (Legal Business Name): NEWVISION HEALTHCARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FRANK LEARY WAY STE 1
RANDOLPH MA
02368-4503
US

IV. Provider business mailing address

1 FRANK LEARY WAY STE 1
RANDOLPH MA
02368-4503
US

V. Phone/Fax

Practice location:
  • Phone: 781-985-0210
  • Fax:
Mailing address:
  • Phone: 781-985-0210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NADIA VALENTIN
Title or Position: OWNER
Credential: NP
Phone: 781-985-0210