Kelly Nelson
NORTHEAST MEDICAL GROUP INC


Address: 5 Pequot Park Rd, Westbrook, CT 06498-2856
Phone: 8603996167

Kelly Nelson (NPI# 1659396737, PAC ID# 1153502943) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL
070020 MIDDLESEX HOSPITAL

Other Locations

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 Information

Organization Legal Name NORTHEAST MEDICAL GROUP INC
Physicians 1113

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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
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Office Location

Street Address 5 PEQUOT PARK RD
City WESTBROOK
State CT
Zip 06498-2856

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City WESTBROOK
Zip Code 06498
Specialty INTERNAL MEDICINE
City + Specialty WESTBROOK + INTERNAL MEDICINE

Improve Information

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Dataset Information

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.

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