DR. NEIL NUSBAUM (NPI# 1144320334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144320334 |
| Entity Type | Individual |
| Full Name | DR. NEIL NUSBAUM |
| Credential | MD |
| Practice Address |
421 N Main St Northampton Va Medical Center Leeds MA 01053-9764 |
| Practice Telephone | 4135844040 |
| Mailing Telephone | 4135844040 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 50940 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
50940 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
421 N MAIN ST NORTHAMPTON VA MEDICAL CENTER |
| City | LEEDS |
| State | MA |
| Zip Code | 01053-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922096205 | Alice Mccormick Abbott | Internal Medicine | 421 N Main St, Leeds, MA 01053-9764 | 2005-10-11 |
| 1346850088 | Elisa Roberts | Nurse Practitioner | 421 N Main St, Leeds, MA 01053-9764 | 2020-08-07 |
| 1558906669 | Tatiana K. Lakalo | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2019-11-12 |
| 1831743954 | Sabina Camponogara | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-07-26 |
| 1528627551 | Kimberly Marie Grey | Audiologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-06-12 |
| 1912464694 | Rachael M Wilson | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-02-28 |
| 1508331554 | Shamus Sullivan | Counselor | 421 N Main St, Leeds, MA 01053-9764 | 2018-10-05 |
| 1962982363 | Shayna Alexis Bronstein | Registered Nurse | 421 N Main St, Leeds, MA 01053-9764 | 2018-08-16 |
| 1114413713 | Matthew J Charette | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2018-07-06 |
| 1386130268 | Linda Darlene Hinkle | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2018-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790297448 | Theresa Koloski | Nurse Practitioner | 38 Mulberry St # 204, Po Box 313, Leeds, MA 01053 | 2017-11-02 |
| 1881881878 | Geneva R Schmitt | Psychologist | 421 N. Main St. Va Central Western Ma, Leeds, MA 01053 | 2007-10-03 |
| 1457545014 | Angela Marie Park | Pharmacist | 421 N. Main St, Department of Veterans Affairs Medical Center, Leeds, MA 01053 | 2007-08-28 |
| 1720297351 | Amy Rowen | Social Worker | 421 No. Main St, Building 9a, Leeds, MA 01053 | 2007-05-21 |
| 1124125687 | Harry Savas Vulopas | Counselor | 421 North Main, Leeds, MA 01053 | 2006-09-19 |
| 1861506966 | Benjamin F Thompson | Social Worker | 38 Mulberry Street, P.o. Box 479, Leeds, MA 01053 | 2006-08-18 |
| 1003849969 | Ahmad Karagah | Specialist | 421 North Main Street, Northampton Va Medical Center, Leeds, MA 01053 | 2006-07-07 |
| 1043299456 | Steven Gary Kessler | Psychiatry & Neurology | 421 N. Main St., Northampton Va Medical Center, Leeds, MA 01053 | 2006-01-13 |
| 1619500774 | Martila Hooks | Counselor | 401 N Main Street, Leeds, MA 01053 | 2020-02-18 |
| 1215572839 | William Theodore Bryant | Student in an Organized Health Care Education/Training Program | 421 N. Main Street, Leeds, MA 01053 | 2019-11-07 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
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| 1356778146 | East Coast Medical Associates Pllc | Internal Medicine | 149 Ashley St, Fall River, MA 02720-1511 | 2013-10-11 |
| 1437454287 | Geriatric Internal Medicine Specialists, LLC | Internal Medicine | 2 Kirkat Way, North Dartmouth, MA 02747-3860 | 2011-01-25 |
| 1306161443 | Aco Health Solutions, LLC | Internal Medicine | 651 Orchard St Ste 206, New Bedford, MA 02744-1007 | 2010-04-01 |
| 1013178698 | Geriatric Solutions | Internal Medicine | 370 Read St, Seekonk, MA 02771-1405 | 2008-06-17 |
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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.