Kelly Nelson (NPI# 1659396737, PAC ID# 1153502943) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1659396737 |
PAC ID by PECOS | 1153502943 |
Professional Enrollment ID | I20110228000418 |
Full Name | Kelly Nelson |
Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
Address |
5 Pequot Park Rd Westbrook CT 06498-2856 |
Phone Number | 8603996167 |
Gender | M |
Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
Graduation Year | 1987 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 1254233836 |
Number of Group Practice Members | 1014 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070022 | YALE-NEW HAVEN HOSPITAL |
070020 | MIDDLESEX HOSPITAL |
Address | Phone | Organization |
---|---|---|
95 Armory Rd, Stratford, CT 06614-1702 | 2033843388 | NORTHEAST MEDICAL GROUP INC |
5 Pequot Park Rd, Westbrook, CT 06498-2856 | 8603996167 | NORTHEAST MEDICAL GROUP INC |
Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
Physicians | 1113 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
Street Address |
5 PEQUOT PARK RD |
City | WESTBROOK |
State | CT |
Zip | 06498-2856 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zadie N Kenkare | Internal Medicine | Northeast Medical Group Inc | 5 Pequot Park Rd, Westbrook, CT 06498-2856 |
Michael Rubinstein | Internal Medicine | Northeast Medical Group Inc | 5 Pequot Park Rd, Westbrook, CT 06498-2856 |
Erik Schmitt | Physical Therapy | Anb-ptsma Holdings Inc | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 |
Bryan Baker | Physical Therapy | Anb-ptsma Holdings Inc | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 |
Todd D Applegate | Osteopathic Manipulative Medicine | 5 Pequot Park Rd, Suite 201a, Westbrook, CT 06498-2856 | |
Kenneth King | Physical Therapy | Anb-ptsma Holdings Inc | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 |
Scott M Cameron | Physical Therapy | Anb-ptsma Holdings Inc | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 |
Danielle S Butsch | Physical Therapy | Anb-ptsma Holdings Inc | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 |
Stephen Strong | Physical Therapy | Anb-ptsma Holdings Inc | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 |
Molly E Maine | Physical Therapy | Anb-ptsma Holdings Inc | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian D Major | Physician Assistant | Orthopedic Associates of Middletown, PC | 5 Pequot Park Rd, Suite 202, Westbrook, CT 06498-1467 |
Holly Finley David | Registered Dietitian Or Nutrition Professional | 44 Andre Dr, Westbrook, CT 06498-1525 | |
Maria Camila Smith | Clinical Social Worker | 1587 Boston Post Rd, Westbrook, CT 06498-2090 | |
Jill M Banatoski | Internal Medicine | Northeast Medical Group Inc | 5 Pequot Park Rd, Westbrook, CT 06498-2856 |
Joshua C Freund | Physician Assistant | Northeast Medical Group Inc | 5 Pequot Park Rd, Westbrook, CT 06498-2856 |
Jeffrey M Bernstein | Emergency Medicine | Middlesex Hospital | 250 Flat Rock Pl, Westbrook, CT 06498-3585 |
City | WESTBROOK |
Zip Code | 06498 |
Specialty | INTERNAL MEDICINE |
City + Specialty | WESTBROOK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kelly Nelson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.