New England Pain Institute LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NEW ENGLAND PAIN INSTITUTE LLC

Practice address

76 Eastern Blvd Ste 103
Glastonbury, CT 06033-4382

Phone

(413) 531-7078

NPI assigned

May 4, 2021

Organization subpart

No

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

Authorized official

Name

Damon P Walton

Title

Owner

Phone

(413) 531-7078

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 3

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

• Dirk A Johns, FNP

  • Family Nurse Practitioner
  • Longmeadow, MA
  • NPI 1407984669

  CT

  Medicare reassignment NPD
• Jeffrey P Thompsen, MD

  • Cardiovascular Disease Physician
  • Enfield, CT
  • NPI 1598705832
  NPD
• Eric Michael Kusher, D.C.

  • Chiropractor
  • South Windsor, CT
  • NPI 1043637820
  NPD (past)

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1609459858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 EASTERN BLVD STE 103",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334382",
            "telephone_number": "413-531-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 EASTERN BLVD STE 103",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334382",
            "telephone_number": "413-531-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND PAIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-531-7078"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Beth Netro-Price, COTAL
• Pamela L Neumann, APRN, FNP-BC
• New Beginnings Counseling Services, LLC
• New England Center for C.B.T. & Psychiatry
• New England Holistic Health Center
• New Horizon Counseling LLC
• New: Glastonbury Oral and Implant Surgery PLLC
• Tina Michelle Newman, PHD
• Nexum HC CT PLLC
• Kim Vo Thien Nguyen, PHARMD

• Family Nurse Practitioner in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.