Individual provider Active NPI

Carmen Maftei, PA

  • Physician Assistant
  • Moody, ME
National Provider Identifier
1164416103
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAN2017 Issued in ME
Practice address
277 Post Rd
Webhannet Internal Medicine Associates of York Hospital
Moody, ME 04054
Phone
(207) 646-8386
NPI assigned
Sep 6, 2005
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAN2017 ME Primary
Physician Assistant 363A00000X 0481P NH
Internal Medicine Physician 207R00000X PAN2017 ME
Internal Medicine Physician 207R00000X 0481P NH

Addresses

Primary practice location

277 Post Rd
Webhannet Internal Medicine Associates of York Hospital
Moody, ME 04054

Mailing address

277 Post Rd
Webhannet Internal Medicine Associates of York Hospital
Moody, ME 04054
Phone (207) 646-8386

Other practice location 1

55 High St
Suite 201
Hampton, NH 03842-2213
Phone (603) 929-2137

Other practice location 2

55 High St
Suite 201
Hampton, NH 03842-2213
Phone (603) 929-2137

Other practice location 3

73 Corporate Dr Ste 200
Portsmouth, NH 03801
Phone (603) 610-8050

Other identifiers 1

IdentifierTypeStateIssuer
3087962MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303002280 ME Practitioner - Physician Assistant 6204738883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAN2017MEMDInternal Medicine Physician
0481PNHMDInternal Medicine Physician
2348NHMDOccupational Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1164416103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 POST RD",
            "address_2": "WEBHANNET INTERNAL MEDICINE ASSOCIATES OF YORK HOSPITAL",
            "city": "MOODY",
            "state": "ME",
            "postal_code": "04054",
            "telephone_number": "207-646-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 POST RD",
            "address_2": "WEBHANNET INTERNAL MEDICINE ASSOCIATES OF YORK HOSPITAL",
            "city": "MOODY",
            "state": "ME",
            "postal_code": "04054",
            "telephone_number": "207-646-8386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 High St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "NH",
            "postal_code": "038422213",
            "country_code": "US",
            "telephone_number": "603-929-2137",
            "fax_number": "603-929-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 High St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "NH",
            "postal_code": "038422213",
            "country_code": "US",
            "telephone_number": "603-929-2137",
            "fax_number": "603-929-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Corporate Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "03801",
            "country_code": "US",
            "telephone_number": "603-610-8050",
            "fax_number": "603-610-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAFTEI",
        "first_name": "CARMEN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PAN2017",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0481P",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "PAN2017",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "0481P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087962",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, ME

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Verify at the official NPI Registry.