Active NPI
New England Hospitalists
- Family Nurse Practitioner
- Worcester, MA
National Provider Identifier
1386198810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 282464
- Legal business name
- NEW ENGLAND HOSPITALISTS
- Practice address
- 390 Main St
Worcester, MA 01608-2583 - Phone
- (508) 450-9450
- NPI assigned
- Aug 13, 2016
- Last updated
- Aug 15, 2016
- 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
- Kunle Fajana, MD
- Title
- Ceo
- Phone
- (508) 735-3280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 282464 | MA | Primary |
Addresses
Primary practice location
390 Main St
Worcester, MA 01608-2583
Mailing address
390 Main St
Worcester, MA 01608-2583
Phone (508) 450-9450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282464 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
390 Main St
Worcester, MA 01608
Phone (508) 753-1260
Interoperability endpoints
- https://api.platform.athenahealth.com/22807/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471219200000",
"number": "1386198810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 MAIN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016082583",
"telephone_number": "508-450-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 MAIN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016082583",
"telephone_number": "508-450-9450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND HOSPITALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-13",
"last_updated": "2016-08-15",
"status": "A",
"authorized_official_last_name": "FAJANA",
"authorized_official_first_name": "KUNLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-735-3280",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "282464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282464",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- New England Dream Center, Inc
- New England Endoscopy Center, LLC
- New England Family Dentistry (OMG Smiles)
- New England Gastroenterology Associates, PC
- New England Hearing and Balance Inc.
- New England Hospitalists PC
- New England Oral Surgery Associates, LLC
- New England Orthotic & Prosthetic Systems, LLC
- New England Pain Associates, P.C.
- New England Pain Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.