Yankee Medical Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

YANKEE MEDICAL INC

Practice address

165 Mechanic St
Lebanon, NH 03766-1509

Phone

(603) 448-8853

NPI assigned

Dec 13, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Nicholas Ficociello, CPO

Title

President

Phone

(802) 863-4591

Specialties & licenses 2

Addresses

Other identifiers 6

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1588725543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 NORTH AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054012918",
            "telephone_number": "802-863-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MECHANIC ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661509",
            "telephone_number": "603-448-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANKEE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "FICOCIELLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-863-4591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007330",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "1505",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99007330",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS VT",
            "identifier": "0007330",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00358269",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH BCBS",
            "identifier": "1200915YONH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaofeng Yan, MD, PHD
• Mounica Yanamandala, M.D.
• Wesley Yang, MD
• Andrew J. Yanik, MD
• William Yankalunas, CRNA
• Norman N Yanofsky, M.D.
• Samantha Jane Yarmis, MD
• Caitlin M Yazel, CPNP
• Nancy A Yazinski, APRN
• Mark Philip Yeager, M.D.

• Customized Equipment (DME) in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Customized Equipment (DME) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.