NPIMap

Organization Active NPI

Nes Medical Services of New England Inc

  • Emergency Medicine Physician
  • Bangor, ME
National Provider Identifier
1396401907
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NES MEDICAL SERVICES OF NEW ENGLAND INC
Practice address
360 Broadway
Bangor, ME 04401-3979
Phone
(207) 907-3000
NPI assigned
Nov 9, 2021
Last updated
Mar 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Jennifer Moore
Title
Ceo
Phone
(800) 242-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

360 Broadway
Bangor, ME 04401-3979

Mailing address

PO Box 33432
Belfast, ME 04915-0612
Phone (800) 377-8721

Other practice location 1

102 Campus Ave
Lewiston, ME 04240-6019
Phone (207) 777-4200

Other practice location 2

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 882-3000

Other practice location 3

91 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220207001753 NH Part B Supplier - Clinic/Group Practice 6204229669 Receives reassigned benefits from 27 practitioners
Practice locations: Nashua, NH
O20220322000330 ME Part B Supplier - Clinic/Group Practice 6204229669 Receives reassigned benefits from 59 practitioners
Practice locations: Bangor, ME; Lewiston, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1396401907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33432",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150612",
            "telephone_number": "800-377-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013979",
            "telephone_number": "207-907-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406019",
            "country_code": "US",
            "telephone_number": "207-777-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 Kinsley St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603648",
            "country_code": "US",
            "telephone_number": "603-882-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406030",
            "country_code": "US",
            "telephone_number": "207-777-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NES MEDICAL SERVICES OF NEW ENGLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-242-6711"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.

Verify at the official NPI Registry.