Nelli G Dorman MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60183 Issued in MA

Legal business name

NELLI G DORMAN MD PC

Practice address

189 May St
Worcester, MA 01602

Phone

(508) 791-6391

Fax

(508) 865-5226

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Nelli G DormanNPI 1568423739

Title

MD PC

Phone

(508) 791-6351

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nelli G Dorman, MD

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1568423739
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1467641704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NOTCHBROOK RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "01545",
            "telephone_number": "508-865-0890",
            "fax_number": "508-865-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MAY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01602",
            "telephone_number": "508-791-6391",
            "fax_number": "508-865-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLI G DORMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "NELLI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD PC",
        "authorized_official_telephone_number": "508-791-6351"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "60183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9749471",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Neils
• Caitlyn Neithercut
• Claudia Ann Neithercut, LICSW
• Jodi Ann Nejaimey-Sousa, PT
• Regina Marie Nejmanowski, CRNA
• Amy Nelson, MS ED.
• Benjamin Adam Nelson, MD
• Christine Mackin Nelson, M.A.
• Christopher L Nelson, LMHC
• Erik D. Nelson, PSY.D.

• Internal Medicine Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.