NEW ENGLAND TELEMEDICINE PA (NPI# 1053752584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053752584 |
| Entity Type | Organization |
| Organization Name | NEW ENGLAND TELEMEDICINE PA |
| Other Organization Name | NEW ENGLAND TELEMEDICINE |
| Practice Address |
98 Route 236 Suite 2 Kittery ME 03904-5527 |
| Mailing Address |
98 Route 236 Suite #2 Kittery ME 03904-5527 |
| Practice Telephone | 8552750464 |
| Practice Fax Number | 2077032780 |
| Mailing Telephone | 8552750464 |
| Mailing Fax Number | 2077032780 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-10-18 |
| Authorized Official Name | DR. TRUSTIN ROY ENNACHERIL (PRESIDENT/CEO) |
| Authorized Official Telephone | 8552750464 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New England Telemedicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891120887 | New England Telemedicine Pa | Prosthetic/Orthotic Supplier | 98 Route 236, Suite #1, Kittery, ME 03904 | 2013-09-09 |
| Street Address |
98 ROUTE 236 SUITE 2 |
| City | KITTERY |
| State | ME |
| Zip Code | 03904-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891120887 | New England Telemedicine Pa | Prosthetic/Orthotic Supplier | 98 Route 236, Suite #1, Kittery, ME 03904 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396291878 | Rae Lynn Stackpoole | Occupational Therapist | 518 Us Route 1 # 14&16, Kittery, ME 03904 | 2016-08-25 |
| 1457713117 | Nathaniel John Irvine | General Practice | Naval Branch Health Clinic Portsmouth, 1 Ayres Circle, Portsmouth, NH 03904 | 2016-03-22 |
| 1245508217 | Sabrina Blackwell | Physician Assistant | One Ayres Circle, Bldg H-1, Pns, Kittery, ME 03904 | 2011-12-06 |
| 1538455431 | Conant Associates LLC | Counselor | 435 Rt 1, Suite 2, Kittery, ME 03904 | 2011-06-20 |
| 1275852055 | Tyler James Lowe | Optometrist | 99 Route 1 Bypass, Suite A, Kittery, ME 03904 | 2010-05-19 |
| 1881917359 | Ethel's Tree of Life, Inc. | Point of Service | 518 Rte 1, Kittery, ME 03904 | 2010-03-11 |
| 1144468968 | Wende Pediatrics | Pediatrics | 518 Us Route 1, Suite A-7, Kittery, ME 03904 | 2009-02-02 |
| 1881866580 | Kittery Commons LLC | Skilled Nursing Facility | 9 Lewis Road, Kittery, ME 03904 | 2008-04-02 |
| 1497968358 | Alice Gansecki Meattey | Acupuncturist | 74 State Road, Suite Number 201, Kittery, ME 03904 | 2007-05-08 |
| 1154473643 | Yuri Belopolsky | Acupuncturist | 30 1/2 George St., Kittery, ME 03904 | 2007-01-17 |
| Find all providers in zip 03904 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972015774 | Down East Community Hospital | Clinic/Center | 43 Palmer St Ste 1, Calais, ME 04619-1305 | 2017-11-02 |
| 1609837236 | Goodall Health Partners | Clinic/Center | 27 June St, Sanford, ME 04073-2621 | 2006-03-31 |
| 1902422561 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-19 |
| 1407403611 | Evergreen Health, LLC | Clinic/Center | 29 Bowdoin St, Manchester, ME 04351-3554 | 2019-08-22 |
| 1801235023 | Penobscot Community Health Center | Clinic/Center | 6 Telcom Dr, Bangor, ME 04401-3072 | 2013-06-20 |
| 1871936609 | Southern Maine In Home Therapy Services,llc | Clinic/Center | 59 Sleepy Hollow Dr, Gorham, ME 04038-2563 | 2013-04-11 |
| 1467608836 | Mdfpr | Clinic/Center | 15 E Chestnut St, Augusta, ME 04330-5736 | 2008-08-17 |
| 1104005362 | Spurwink Services | Clinic/Center | 17 Bishop St, Portland, ME 04103-2659 | 2007-10-24 |
| 1568581882 | Children, Families and Communities, Inc. | Clinic/Center | 102 Main St, Ste. A, Ellsworth, ME 04605-1919 | 2007-03-28 |
| 1588725246 | C. V. Diagnostics, Inc. | Clinic/Center | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NEW ENGLAND TELEMEDICINE PA.
| 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.