Active NPI
Nes Medical Services of Northern Connecticut, P.C.
- Emergency Medicine Physician
- Stafford Springs, CT
National Provider Identifier
1194450478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- NES MEDICAL SERVICES OF NORTHERN CONNECTICUT, P.C.
- Practice address
- 201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005 - Phone
- (860) 684-4251
- NPI assigned
- Jul 20, 2022
- Last updated
- Jul 9, 2026
- 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
- Matt Teter
- Title
- Corporate Secretary
- Phone
- (833) 507-7972
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Mailing address
7300 State Highway 121 Ste 370-374
McKinney, TX 75070-1987
Phone (469) 557-6183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Medicine Physician
- Putnam, CT
- NPI 1447231865
O20040112000084
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 59
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.
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- NPI 1821138736
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- Emergency Medicine Physician
- Putnam, CT
- NPI 1568436830
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- Manchester, CT
- NPI 1306818810
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- NPI 1336155860
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- Waterbury, CT
- NPI 1992769715
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- S Woodstock, CT
- NPI 1336155118
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- New London, CT
- NPI 1841394137
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- Farmington, CT
- NPI 1770775124
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- Waterbury, CT
- NPI 1205286184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1194450478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 STATE HIGHWAY 121 STE 370-374",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750701987",
"telephone_number": "469-557-6183",
"fax_number": "469-640-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CHESTNUT HILL RD",
"city": "STAFFORD SPRINGS",
"state": "CT",
"postal_code": "060764005",
"telephone_number": "860-684-4251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NES MEDICAL SERVICES OF NORTHERN CONNECTICUT, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-20",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "TETER",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "833-507-7972"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford Springs, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.