Active NPI
Roland Addo Nubuor, CNP
- Nurse Practitioner
- Monroe, CT
National Provider Identifier
1669712188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2261441
- Practice address
- 324 Elm St Ste 202B
Monroe, CT 06468-2284 - Phone
- (203) 880-5335
- NPI assigned
- Feb 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | RN2261441 | MA | |
| Nurse Practitioner | 363L00000X | RN2261441 | MA | Primary |
Addresses
Primary practice location
324 Elm St Ste 202B
Monroe, CT 06468-2284
Mailing address
324 Elm St Ste 202B
Monroe, CT 06468-2284
Phone (203) 880-5335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (888) 964-6681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| HDC Care Solutions, LLC | Nurse Practitioner | Current | Accepting new patients |
| Healthdrive Medical Services Southeast LLC | Nurse Practitioner | Current | Accepting new patients |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Framingham, MA
- NPI 1033861349
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1669712188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 ELM ST STE 202B",
"city": "MONROE",
"state": "CT",
"postal_code": "064682284",
"telephone_number": "203-880-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 ELM ST STE 202B",
"city": "MONROE",
"state": "CT",
"postal_code": "064682284",
"telephone_number": "203-880-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUBUOR",
"first_name": "ROLAND",
"middle_name": "ADDO",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-20",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "MA",
"license": "RN2261441",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2261441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.