Active NPI
New England Tissue Issue, PLLC
- Clinical Medical Laboratory
- Fall River, MA
National Provider Identifier
1255649828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NEW ENGLAND TISSUE ISSUE, PLLC
- Practice address
- 1822 N Main St
Suite 302
Fall River, MA 02720-1318 - Phone
- (401) 523-7512
- NPI assigned
- Sep 16, 2010
- Last updated
- Sep 14, 2022
- 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
- Mrs. Ilsa Marie Ramirez, MBA, MHSM
- Title
- Compliance Specialist
- Phone
- (469) 532-0667
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary | |
| Dermatopathology Physician | 207ND0900X | NU | ||
| Dermatopathology (Pathology) Physician | 207ZD0900X | NU |
Addresses
Primary practice location
1822 N Main St
Suite 302
Fall River, MA 02720-1318
Mailing address
1822 N Main St
Suite 302
Fall River, MA 02720-1318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCO00672 | Other | RI | STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH |
Other names 1
- New England Tissue Issue, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110512000573 | MA | Part B Supplier - Independent Clinical Laboratory | 8022294875 | Practice locations: Fall River, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2015045 | New England Tissue Issue Inc | Accreditation | Jul 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
1822 N Main St
Ste 302
Fall River, MA 02720
Phone (401) 683-8964
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Dermatopathology (Pathology) Physician
- Fall River, MA
- NPI 1598935611
-
- Dermatopathology (Pathology) Physician
- Weston, MA
- NPI 1184600017
-
- Anatomic Pathology & Clinical Pathology Physician
- Fall River, MA
- NPI 1255467833
Dermatopathology
-
- Pathology Specialist/Technologist
- Dallas, TX
- NPI 1619913126
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1346404464
Dermatopathology
-
- Dermatopathology Physician
- Miami, FL
- NPI 1497956569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663113600000",
"number": "1255649828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 N MAIN ST",
"address_2": "SUITE 302",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027201318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1822 N MAIN ST",
"address_2": "SUITE 302",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027201318",
"telephone_number": "401-523-7512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND TISSUE ISSUE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-16",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "ILSA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "COMPLIANCE SPECIALIST",
"authorized_official_telephone_number": "469-532-0667",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA, MHSM"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH",
"identifier": "LCO00672",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New England Tissue Issue, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fall River, MA
- New Caring Solutions of Greater Fall River Inc.
- New England Hospitalist Associates, PC
- New England Hospitalists Associates
- New England Spine & Disc Center LLC
- New England Spine & Disc Center of Massachusets
- New England World Interpreters
- New Generation Transportation, Inc
- Candace Newbury, LMHC, LMFT, BCETS
- Jennifer Newcomer
- Sandra M Newhall, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.