NEMS PLLC (NPI# 1114482882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114482882 |
| Entity Type | Organization |
| Organization Name | NEMS PLLC |
| Practice Address |
435 Lewis Ave Meriden CT 06451-2101 |
| Mailing Address |
Po Box 414521 Boston MA 02241-0001 |
| Practice Telephone | 2036948200 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | GREGORY SHANGOLD (PRESIDENT) |
| Authorized Official Telephone | 6104162690 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | NEMS PLLC | 112 Mansfield Avenue, Willimantic, CT 06226 |
| Street Address |
435 LEWIS AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595874 | Dean John Mariano | Anesthesiology | 435 Lewis Ave, Suite 101, Meriden, CT 06451-2101 | 2005-08-17 |
| 1700405149 | Megan Elizabeth Ganzenmuller | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-04-15 |
| 1588290613 | Isabel Nodiff | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-03-20 |
| 1396394722 | Barbara J Spremullo | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-09-09 |
| 1538715883 | Matthew Decaprio | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-08-13 |
| 1831741347 | Kelly Ann Meenan | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-07-15 |
| 1417414038 | Max Pianka | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-03-01 |
| 1023597028 | Anthony Joseph Boguslawski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-08-09 |
| 1285111443 | Melissa Alvarez | Registered Nurse | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-07-20 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| 1144522160 | Community Renewal Team Inc. | Case Management | 675 Tower Ave, Hartford, CT 06451 | 2010-11-23 |
| 1760681639 | Mark Steven Schaner | Internal Medicine | 435 Lewis Avenue, Meriden, CT 06451 | 2007-07-12 |
| 1043371115 | Eugene Robert Bertolli | Optometrist | 470 Lewis Ave, C/o Sears Optical, Meriden, CT 06451 | 2006-12-13 |
| Find all providers in zip 06451 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558893560 | Medexpress Urgent Care Connecticut, P.C. | Emergency Medicine | 875 E Main St, Meriden, CT 06450-6006 | 2017-03-29 |
| 1437506268 | Isaac Troiano | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2016-05-23 |
| 1821378605 | Joyce Perfetti | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2011-08-24 |
| 1083910962 | Emergency Medicine Physicians of New Haven County,llc | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2011-02-10 |
| 1902046196 | Rebecca Rubin Reiff | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2009-02-27 |
| 1942479621 | Anthony Depalma | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2008-02-26 |
| 1942481098 | Myra J Lewis | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2007-11-16 |
| 1366640013 | Camielle Rizzo | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2007-07-04 |
| 1679657100 | Walter J Kupson IIi | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-10-24 |
| 1255414983 | Alan L Weiner | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-10-24 |
| Find all providers in MERIDEN | ||||
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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.