Active NPI
New Haven Medical Services, P.a.
- Infectious Disease Physician
- Seneca, SC
National Provider Identifier
1609821602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- NEW HAVEN MEDICAL SERVICES, P.A.
- Practice address
- 115 Eagles Nest Dr
Suite B
Seneca, SC 29678-2762 - Phone
- (864) 885-2000
- Fax
- (864) 885-1004
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Kennedy Kwofie, M.D.
- Title
- Physician Owner
- Phone
- (864) 885-2000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
115 Eagles Nest Dr
Suite B
Seneca, SC 29678-2762
Mailing address
115 Eagles Nest Dr
Suite B
Seneca, SC 29678-2762
Phone (864) 885-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4100 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1037951 | New Haven Medical Services PA | Certificate of waiver | Mar 7, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Seneca, SC
- NPI 1124002118
-
- Family Medicine Physician
- Anderson, SC
- NPI 1083278279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609821602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 EAGLES NEST DR",
"address_2": "SUITE B",
"city": "SENECA",
"state": "SC",
"postal_code": "296782762",
"telephone_number": "864-885-2000",
"fax_number": "864-885-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 EAGLES NEST DR",
"address_2": "SUITE B",
"city": "SENECA",
"state": "SC",
"postal_code": "296782762",
"telephone_number": "864-885-2000",
"fax_number": "864-885-1004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HAVEN MEDICAL SERVICES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KWOFIE",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "KENNEDY",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "864-885-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4100",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.