NEJI TANGBAN (NPI# 1790976629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790976629 |
| Entity Type | Individual |
| Full Name | NEJI TANGBAN |
| Credential | MD |
| Practice Address |
40 Wright St Palmer MA 01069-1138 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4132845400 |
| Practice Fax Number | 4132845559 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 238780 | MA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 37400 | IA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 238780 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9771476 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Page St, New Bedford, MA 027403464 | 5089735919 | 5089735916 |
| Street Address |
40 WRIGHT ST |
| City | PALMER |
| State | MA |
| Zip Code | 01069-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031354 | Jonathan H Marsh | Internal Medicine | 40 Wright St, Palmer, MA 01069-1138 | 2005-05-23 |
| 1285146498 | Mary Charlotte Guertin | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-10-27 |
| 1891204475 | Lea A Grippin | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-09-26 |
| 1497272397 | Grace A Lavalley | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-08-23 |
| 1093247918 | Zachary C. Demma | Emergency Medicine | 40 Wright St, Palmer, MA 01069-1138 | 2017-03-30 |
| 1750838579 | Kyrsten Belini | Student in an Organized Health Care Education/Training Program | 40 Wright St, Palmer, MA 01069-1138 | 2016-09-09 |
| 1487101507 | Meghan Krasnow | Student in an Organized Health Care Education/Training Program | 40 Wright St, Palmer, MA 01069-1138 | 2016-09-07 |
| 1932552858 | Michael Joseph Fine | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2016-07-15 |
| 1295183614 | Gil Shay | Internal Medicine | 40 Wright St, Palmer, MA 01069-1138 | 2016-05-26 |
| 1861856833 | Alexandra Pessolano | Counselor | 40 Wright St, Palmer, MA 01069-1138 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979328 | Jacqueline Pahl | Social Worker | 11 Oakland St., Palmer, MA 01069 | 2018-10-24 |
| 1891277240 | Katherine Beliveau | Developmental Therapist | 1581 N. Main Street, Palmer, MA 01069 | 2018-09-02 |
| 1730606740 | Jordan Elizabeth Pike | Physician Assistant | 40 Wirght, Palmer, MA 01069 | 2017-08-30 |
| 1265880405 | Brittany Ford | Specialist/Technologist | 4105 Main St, Palmer, MA 01069 | 2016-05-27 |
| 1417263021 | Deborah Lee Stroetzel I | Audiologist-Hearing Aid Fitter | 40 Wright St., Palmer, MA 01069 | 2010-08-20 |
| 1063635399 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | Monson Dev Cntr, 175 State Ave, Palmer, MA 01069 | 2007-04-11 |
| 1124149273 | Pruushotam Puri | Surgery | Wright Street, Palmer, MA 01069 | 2007-04-03 |
| 1679582019 | Richard Michael Gondek | Dentist | 1436 Main St, Palmer, MA 01069 | 2006-08-05 |
| 1083649222 | Jessica R Senecal-bennett | Social Worker | 42 Wright St, Palmer, MA 01069 | 2006-07-12 |
| 1396770632 | Daniel Shapiro | Social Worker | Wing Memorial Hospital Griswold Center, 40 Wright Street, Palmer, MA 01069 | 2006-07-12 |
| Find all providers in zip 01069 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865228 | Bruck Clift Md LLC | Family Medicine | 1901 North Hemmer Road Suite 110, Palmer, AK 99645 | 2016-12-08 |
| 1669926978 | Tyfanae Brinke | Family Medicine | 1941 S Jensen Rd, Palmer, AK 99645-5923 | 2016-08-04 |
| 1134548464 | Myra Dimitrov Dimitrov | Family Medicine | 2323 S Trunk Rd Apt 6, Palmer, AK 99645 | 2014-04-15 |
| 1427335785 | Coho Family Medicine LLC | Family Medicine | 7200 E Valley Cir, Palmer, AK 99645-5929 | 2011-11-14 |
| 1457659906 | Heirloom Wellnes and Birth LLC | Family Medicine | 2323 S Trunk Rd, Suite 6, Palmer, AK 99645 | 2011-03-08 |
| 1952631541 | Valley Medical Center Inc | Family Medicine | 425 E Dahlia Ave Ste M, Palmer, AK 99645-6463 | 2010-01-05 |
| 1225102551 | Kim Darlene Taylor | Family Medicine | Highway 108, Palmer, TN 37365 | 2006-11-20 |
| 1891888384 | Linda Sloan | Family Medicine | 425 E. Dhalia, Suite L, Palmer, AK 99645 | 2006-10-02 |
| 1902909781 | Michael R Moser | Family Medicine | 425 E Dahlia Ave Ste L, Palmer, AK 99645-6463 | 2006-09-06 |
| 1508878885 | Rachel Susan Cuevas | Family Medicine | 2480 S Woodworth Loop Ste 150, Palmer, AK 99645-7408 | 2006-08-13 |
| Find all providers in PALMER | ||||
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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.