Express Med at Salem, LLC

Primary specialty

Clinical & Laboratory Immunology (Internal Medicine) PhysicianTaxonomy code 207RI0001X

Legal business name

EXPRESS MED AT SALEM, LLC

Practice address

159 N Broadway
Salem, NH 03079-2136

Phone

(603) 898-0961

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Nicholas Vailas

Title

Owner

Phone

(603) 731-5589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1629616883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BRIDGE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011603",
            "telephone_number": "603-232-4513",
            "fax_number": "603-232-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792136",
            "telephone_number": "603-898-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MED AT SALEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "VAILAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-731-5589"
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essex Orthopaedics & Optima Sports Medicine PLLC
• Julie Evans
• Evercare Medical Associates
• Exceptional Dentistry
• Express Med at Salem, LLC
• Erin Fabian, PT, DPT
• Meghan Fanning, MA
• Veronia Farag
• Courtney Farrar
• Jennifer Farrington

• Internal Medicine Physician in Salem, NH
• Providers in Salem, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.