Maurizio Domenico Nichele

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

034772 Issued in CT

Practice address

929 Boston Post Rd
Suite 1
Old Saybrook, CT 06475-2143

Phone

(860) 395-0554

Fax

(860) 395-0448

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Advanced Colon Care Inc

  • Ambulatory Surgical Clinic/Center
  • Old Saybrook, CT
  • NPI 1689608697
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1245264258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BOSTON POST RD",
            "address_2": "SUITE 1",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752143",
            "telephone_number": "860-395-0554",
            "fax_number": "860-395-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOSTON POST RD",
            "address_2": "SUITE 1",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752143",
            "telephone_number": "860-395-0554",
            "fax_number": "860-395-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHELE",
        "first_name": "MAURIZIO",
        "middle_name": "DOMENICO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "034772",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CT",
            "license": "034772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Morris
• Ann Margaret Moser, O.D.
• Yamilette Moshier
• Bart E Muhs, MD, PHD
• Lia A Murphy, P.A.
• Mary Noa-Kempner, LMHC
• Lynn M Normand, RN
• Northeast Hearing LLC
• Northeast Medical Products, Inc.
• Leah O'Connor, LPC

• All providers in Old Saybrook, CT
• Colon & Rectal Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.