New England PA LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001845 Issued in CT

Legal business name

NEW ENGLAND PA LLC

Practice address

5 Davis Road East
Old Lyme, CT 06371

Phone

(860) 390-6000

Fax

(860) 215-8150

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vinod Pathy, M.D.NPI 1922299098

Title

Preseident

Phone

(860) 390-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Vinod V Pathy, MD

  • Plastic Surgery Physician
  • Norwich, CT
  • NPI 1922299098
  NPD Authorized official
• Morgan Graham

  • Physician Assistant
  • Farmington, CT
  • NPI 1689222432
  NPD
• Megan Jane Phillips, PA-C

  • Physician Assistant
  • Hartford, CT
  • NPI 1891789202
  NPD
• Hannah M S C Urgo, PA-C

  • Physician Assistant
  • Old Lyme, CT
  • NPI 1891143459
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1740653278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DAVIS ROAD EAST",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "06371",
            "telephone_number": "860-390-6000",
            "fax_number": "860-215-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DAVIS ROAD EAST",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "06371",
            "telephone_number": "860-390-6000",
            "fax_number": "860-215-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "PATHY",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "860-390-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Vincent Mitchell, PSY.D.
• Christina B. Morgan, PTA
• Laura A Munro, N.D.
• Erin Elizabeth Murphy, LPC, CLAT, LCAT
• Suzanne A. Murphy, DC
• New England Plastic Surgery Center
• New England Plastic Surgery Group, LLC
• Martha Newell
• Nicole Cirilli Nutrition LLC
• Northeast Plastic Surgery Center LLC

• Physician Assistant in Old Lyme, CT
• Providers in Old Lyme, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.