Organization Active NPI

New England Integrated Primary Care, Inc.

  • Internal Medicine Physician
  • East Haven, CT
National Provider Identifier
1710436308
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49216 Issued in CT
Legal business name
NEW ENGLAND INTEGRATED PRIMARY CARE, INC.
Practice address
190 Main St
Ste 1
East Haven, CT 06512-3042
Phone
(203) 983-9839
NPI assigned
Sep 24, 2016
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Dr. Ann Celeste Dimaya, M.D.NPI 1295994721
Title
Owner/M.D.
Phone
(347) 463-8527

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49216 CT Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 49216 CT
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 49216 CT

Addresses

Primary practice location

190 Main St
Ste 1
East Haven, CT 06512-3042

Mailing address

190 Main St
East Haven, CT 06512-3042
Phone (203) 467-2102

Other identifiers 1

IdentifierTypeStateIssuer
008070777MedicaidCT

Other names 1

  • New England Integrated Primary Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171127002553 CT Part B Supplier - Clinic/Group Practice 6901163161 Receives reassigned benefits from 2 practitioners
Practice locations: East Haven, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2130238New England Integrated Primary Care190 Main St, Suite 1, East Haven, CT 06512Provider-performed microscopyMay 3, 2027

National Provider Directory

National Provider Directory

Locations

190 Main St
East Haven, CT 06512
Phone (203) 466-3823

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1710436308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123042",
            "telephone_number": "203-467-2102",
            "fax_number": "203-467-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "address_2": "STE 1",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123042",
            "telephone_number": "203-983-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND INTEGRATED PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "DIMAYA",
        "authorized_official_first_name": "ANN CELESTE",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "347-463-8527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "49216",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "49216",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CT",
            "license": "49216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008070777",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Integrated Primary Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New England Integrated Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.

Verify at the official NPI Registry.