Nutmeg Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NUTMEG MEDICAL SUPPLY INC

Practice address

262 State St
North Haven, CT 06473-2273

Phone

(203) 390-5820

NPI assigned

May 10, 2021

Organization subpart

No

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

Authorized official

Name

Ray Pantalena

Title

MGR

Phone

(203) 390-5820

Specialties & licenses 1

Addresses

Other names 1

• Nutmeg Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1114501871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732273",
            "telephone_number": "203-390-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732273",
            "telephone_number": "203-390-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTMEG MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "PANTALENA",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "203-390-5820"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutmeg Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Nosol, M.S., M.S.ED., MHS
• Nova Dental LLC
• Nova Neuropsychology LLC
• Maria Nunley, LPC, LADC
• Nutmeg Counseling Services, LLC
• Nutrtional Health Center
• Katie O'Connor
• Chioma N Odukwe Enu, D.P.M
• Azeez O Oladejo, PHARM.D
• Deborah A Olchek, BCBA

• Durable Medical Equipment & Medical Supplies in North Haven, CT
• Providers in North Haven, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.