Active NPI
New Beginnings Suboxone Treatment, LLC Corp
- Internal Medicine Physician
- Portage, IN
National Provider Identifier
1114315041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NEW BEGINNINGS SUBOXONE TREATMENT, LLC CORP
- Practice address
- 2640 Hamstrom Rd
Portage, IN 46368-3832 - Phone
- (219) 762-4423
- NPI assigned
- Dec 30, 2014
- Last updated
- Dec 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shreyas Arvind Desai, M.D.
- Title
- President/Owner
- Phone
- (219) 762-4423
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IN | Primary |
Addresses
Primary practice location
2640 Hamstrom Rd
Portage, IN 46368-3832
Mailing address
2640 Hamstrom Rd
Portage, IN 46368-3832
Phone (219) 762-4423
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Portage, IN
- NPI 1386646529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419897600000",
"number": "1114315041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 HAMSTROM RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463683832",
"telephone_number": "219-762-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 HAMSTROM RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463683832",
"telephone_number": "219-762-4423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BEGINNINGS SUBOXONE TREATMENT, LLC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-30",
"last_updated": "2014-12-30",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "SHREYAS",
"authorized_official_middle_name": "ARVIND",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "219-762-4423",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.