New England Rheumatology LLC
Organization Active NPI Rheumatology Physician · Norwich, CT
NPI 1013258664 · NPPES record last updated Apr 9, 2013
Key facts
- NPI
- 1013258664
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 043737 (CT)
- Legal business name
- NEW ENGLAND RHEUMATOLOGY LLC
- Practice address
- 12 Case St Ste 212
Norwich, CT 06360-2222 - Phone
- (860) 859-9123
- NPI assigned
- Mar 6, 2013
- Organization subpart
- No
Authorized official
- Name
- Harjinder Chowdhary, MD
- Title
- Member
- Phone
- (860) 859-9123
Practitioners 2
-
Jackilyn Annelli, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130801000769 | CT | Part B Supplier - Clinic/Group Practice | 7113168113 |
Receives reassigned benefits from 2 practitioners Practice locations: Norwich, CT |
National Provider Directory
Locations
12 Case St
Ste 212
Norwich, CT 06360
Phone (860) 859-9123
14 Quarry St
#5
Willimantic, CT 06226
Phone (860) 450-2393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | 043737 | CT | Yes |
Addresses
Primary practice location
12 Case St Ste 212
Norwich, CT 06360-2222
Mailing address
12 Case St Ste 212
Norwich, CT 06360-2222
Phone (860) 859-9123
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- John P Newcomb
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All providers in Norwich, CT · Rheumatology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.