Essential Diabetes and Primary Care Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ESSENTIAL DIABETES AND PRIMARY CARE CENTER, LLC

Practice address

299 Carew St Ste 300
Springfield, MA 01104-2361

Phone

(413) 305-1178

NPI assigned

Dec 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany GrooverNPI 1891091310

Title

Owner

Phone

(413) 305-1178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Groover, MD

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1891091310
  Medicare reassignment NPD Authorized official
• Emad Helmy Eskander, M.D.

  • Psychiatry Physician
  • West Springfield, MA
  • NPI 1073594594
  NPD (past)
• Young K Kim, PHD

  • Clinical Psychologist
  • Springfield, MA
  • NPI 1033278973
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1023885464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CORONA ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 300",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042361",
            "telephone_number": "413-305-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL DIABETES AND PRIMARY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "GROOVER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-305-1178"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Espino-Palomo
• Kristin Espinosa
• Peter T Esposito, DMD
• Angela Rose Essa, MD
• Rahila Essani, MD
• Diana Maribel Estacio
• Olivia Lauren Estevez, MD
• Vanessa Lynette Estrada
• Maya Estrela
• Ileana Milagros Estrella-Martinez

• Primary Care Clinic/Center in Springfield, MA
• Providers in Springfield, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.