NPIMap

Organization Active NPI

Maine Neonatology Associates

  • Neonatal-Perinatal Medicine Physician
  • Portland, ME
National Provider Identifier
1417087883
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
MAINE NEONATOLOGY ASSOCIATES
Practice address
22 Bramhall St
Portland, ME 04102-3175
Phone
(800) 482-1415
Fax
(941) 907-1153
NPI assigned
Mar 6, 2007
Reactivated
Dec 23, 2008
Last updated
Dec 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Peter Marro, M.D.NPI 1275663775
Title
Managing Partner
Phone
(207) 662-2553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3175

Mailing address

PO Box 656
Portland, ME 04104-0656
Phone (800) 482-1415

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1417087883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041040656",
            "telephone_number": "800-482-1415",
            "fax_number": "941-907-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023175",
            "telephone_number": "800-482-1415",
            "fax_number": "941-907-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE NEONATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-12-23",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "MARRO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "207-662-2553",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.