Organization Active NPI

New England Hospitalists

  • Family Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1386198810
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
282464 Issued in MA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
282464MedicaidMA

National Provider Directory

National Provider Directory

Locations

390 Main St
Worcester, MA 01608
Phone (508) 753-1260

Interoperability endpoints

  • FHIR API: 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

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.

Verify at the official NPI Registry.